Individual
ALISHA L RONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 GREAT OAKS BLVD, SUITE 105, ALBANY, NY 12203-7924
(518) 869-8007
(518) 869-8742
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016365
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03541742
—
NY
01
—
130408000105
FIDELIS CARE NY
—
Enumeration date
02/07/2013
Last updated
01/26/2018
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