Provider Demographics
NPI:1700161841
Name:BOSS, ALEX B (RN)
Entity Type:Individual
Prefix:MRS
First Name:ALEX
Middle Name:B
Last Name:BOSS
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:45 BREAKEY AVE
Mailing Address - Street 2:RJ KAISER MIDDLE SCHOOL
Mailing Address - City:MONTICELLO
Mailing Address - State:NY
Mailing Address - Zip Code:12701-2530
Mailing Address - Country:US
Mailing Address - Phone:845-796-3058
Mailing Address - Fax:845-796-5035
Practice Address - Street 1:45 BREAKEY AVE
Practice Address - Street 2:RJ KAISER MIDDLE SCHOOL
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-2530
Practice Address - Country:US
Practice Address - Phone:845-796-3058
Practice Address - Fax:845-796-5035
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY388474-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool