Individual
MRS. MICHELLE ALCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 E MAIN ST, ELBRIDGE, NY 13060-9707
(315) 689-8540
Mailing address
100 OLYMPIC DR, ELBRIDGE, NY 13060-9719
(315) 224-9276
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
781164971
NY
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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