Individual
ALYSSA ROSE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
25 CHAUCER CIR, BALDWINSVILLE, NY 13027-8254
(315) 350-1947
Mailing address
26 CANDLEWOOD GDNS, BALDWINSVILLE, NY 13027-2603
(203) 957-5165
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
339
NY
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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