Individual
MRS. ALISA MARIE ALBANESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5111
Mailing address
5348 STRAWFLOWER DRIVE, NORTH SYRACUSE, NY 13212-1220
(315) 458-1692
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
013067
NY
363AM0700X
Medical Physician Assistant
Primary
P67542
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03328383
—
NY
Enumeration date
10/17/2008
Last updated
11/14/2011
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