Individual
ALYSSA MUSTACCHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1176 77TH ST, BROOKLYN, NY 11228-2336
(917) 836-8557
Mailing address
1176 77TH ST, BROOKLYN, NY 11228-2336
(917) 836-8557
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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