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Individual

ALICIA M SEWERYN

Active
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Individual

ALICIA M SEWERYN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0217341
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000626951001
BLUE CROSS
01
825107
EMPIRE
01
9311626
INDEPENDENT HEALTH
Enumeration date
11/09/2006
Last updated
07/08/2007
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