Alternative Aging & Medispa

NPI #1700471158 in Watertown, New York

Provider Information

NPI Number
1700471158
Entity Type
Organization
Organization Name
Alternative Aging & Medispa
Primary Specialty
Family Medicine
Enumeration Date
Mar 8, 2021
Last Updated
Mar 8, 2021

Practice Location

Address
1388 COSGROVE ST
ZIP Code
13601-4544
Phone
(315) 777-2749

Authorized Official

Name
PHYL MCKINNEY, FNP-BC
Title
OWNER/MEMBER
Phone
(315) 777-2749

Specialties & Taxonomy Codes

Specialty
Family Medicine

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