Individual
ALVINE M KOUMPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 TWEDDLE FARM LN, MONTGOMERY, NY 12549-2848
(240) 501-2392
Mailing address
65 TWEDDLE FARM LN, MONTGOMERY, NY 12549-2848
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
766290
NY
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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