Individual
ALEXIS MERCEDES SUTPHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 S LAKE AVE, ALBANY, NY 12203-1106
(518) 436-7972
Mailing address
200 RIVERWALK WAY, COHOES, NY 12047-3337
(518) 683-5609
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
929169
NY
Other
Enumeration date
02/12/2025
Last updated
03/24/2025
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