Individual
MS. ALISON ULLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1050 CLOVE RD, STATEN ISLAND, NY 10301-3627
(718) 816-6440
(718) 816-3611
Mailing address
55 WATER STREET, 2ND FLOOR CRED DEPT, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003482
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01982690
—
NY
Enumeration date
12/14/2005
Last updated
10/01/2019
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