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Individual

ALISA AMELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
47 NEW SCOTLAND AVE # MC10, ALBANY, NY 12208-3412
(518) 262-5088
Mailing address
47 NEW SCOTLAND AVE # MC10, ALBANY, NY 12208-3412
(518) 262-5088

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
030801-01
NY

Other

Enumeration date
10/12/2023
Last updated
11/22/2023
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