National Provider Identifier
Alyssa G Bovalino, PA-C
Alyssa G Bovalino, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (315) 480-8733.
Profile Overview
- NPI
- 1417406398
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 03, 2016
- Last Updated
- November 04, 2016
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1342
Phone: (315) 480-8733
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1417406398
- Entity Type
- Individual
- Last Name
- Bovalino
- First Name
- Alyssa
- Middle Name
- G
- Credential
- PA-C
- Mailing Street Address
- 101 Dates Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1342
- Mailing Country
- US
- Mailing Phone
- (315) 698-1496
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1342
- Practice Country
- US
- Practice Phone
- (315) 480-8733
- Enumeration Date
- October 03, 2016
- Last Updated
- November 04, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)