Individual
ALYSSA CIANCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5959 BIG TREE RD STE 107, ORCHARD PARK, NY 14127-2291
(716) 260-1593
Mailing address
PO BOX 488, BUFFALO, NY 14240-0488
(866) 853-9551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
027551
NY
Other
Enumeration date
09/22/2020
Last updated
11/15/2021
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