NPI | 1255445599 |
---|---|
Former Name | ALYSON ROSE FECCI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 011307) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0008168) |
363A00000X Physician Assistant (Licence: CT 23.004995) | |
363A00000X Physician Assistant (Licence: IL 085.008242) | |
363A00000X Physician Assistant (Licence: NJ 25MP00173100) | |
363A00000X Physician Assistant (Licence: MA PA8027) | |
363A00000X Physician Assistant (Licence: PA MA062958) | |
Enumeration Date | 2006-08-17 |
Last Update Date | 2021-10-05 |