Individual
MS. ALYSSA JANE ARLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4704 STATE ROUTE 149, HARTFORD, NY 12838
(518) 632-5222
(518) 632-5231
Mailing address
PO BOX 79, HARTFORD, NY 12838-0079
(518) 632-5222
(518) 632-5231
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
552713
NY
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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