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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. ALICIA SUE ROSS

Active Sole Proprietor

MRS. ALICIA SUE ROSS is a Specialist healthcare provider located in STAR LAKE, New York. NPI 1326413055 is currently active in the NPPES registry. Verify at CMS.

Specialist · STAR LAKE, NY

Registration Details

NPI Number
1326413055
Provider Type
Individual
Gender
Female
NPI Issued
Dec 7, 2015 (10.728977605092 yrs)
Last Updated
Dec 7, 2015
License
613333121 (NY)
Sole Proprietor
Yes

Practice Information

Address
21 CHERRY HILL RD
STAR LAKE, NY, 136903145
Browse NY providers · Browse ZIP 13690
Phone
3154052871
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.