Individual provider · Type 1 NPI
Alicia Sue Ross
Specialist · Star Lake, NY
NPI number
1326413055
Active
Practice location
21 Cherry Hill Rd
Star Lake, NY 13690-3145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 613333121 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1326413055
Alicia Sue Ross's National Provider Identifier is 1326413055, issued on Dec 7, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Star Lake, NY. The record was last updated on Dec 7, 2015.