Alyssa Marie Icolari M.S.

NPI 1700275807 - Specialist - 174400000X

NPI Details
NPI 1700275807
Gender Female
Enumeration Date 01/13/2015
Last Updated 01/13/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
255 ROUTE 32
CENTRAL VALLEY NY, 10917-3613, US
Phone (845) 827-6227
Fax
Business Location
32 LEXINGTON DR
LIVINGSTON NJ, 07039-4304, US
Phone (973) 454-8466
Fax
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Ms. Alyssa Marie Icolari M.S. NPI is 1700275807, taxonomy code is 174400000X Alyssa Marie Icolari M.S. physically located at 255 Route 32, Central Valley NY, 10917-3613. NPI Number Alyssa Marie Icolari M.S. has the Individual type.

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1700275807 NPI number is provided on an as is basis without warranty of any kind. 1700275807 is maintained by the National Plan & Provider Enumeration System. The contents of Alyssa Marie Icolari M.S. are for informational purposes only.