Provider Demographics
NPI:1982063434
Name:ARAGOSA, ALYSSA MARIE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:MARIE
Last Name:ARAGOSA
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1101 NOTT STREET
Mailing Address - Street 2:WOUND CARE CENTER
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308
Mailing Address - Country:US
Mailing Address - Phone:518-347-5442
Mailing Address - Fax:518-347-5330
Practice Address - Street 1:600 MCCLELLAN ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-1009
Practice Address - Country:US
Practice Address - Phone:518-347-5442
Practice Address - Fax:518-347-5330
Is Sole Proprietor?:No
Enumeration Date:2016-02-12
Last Update Date:2021-07-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY019491363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical