| Alpha-medicor, Llc | |
|
1141 Clay Ave Suite #3 Dunmore PA 18510-1191 | |
| (888) 916-9937 | |
| Not Available |
| Full Name | Alpha-medicor, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1141 Clay Ave, Dunmore, Pennsylvania |
| Authorized Official Name and Position | Nicole Cipriani (PRESIDENT) |
| Authorized Official Contact | 5709169989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha-medicor, Llc 1141 Clay Ave Suite #3 Dunmore PA 18510-1191 Ph: () - | Alpha-medicor, Llc 1141 Clay Ave Suite #3 Dunmore PA 18510-1191 Ph: (888) 916-9937 |
| NPI Number | 1740541127 |
|---|---|
| Provider Enumeration Date | 06/02/2012 |
| Last Update Date | 06/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740541127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MD061655 (Pennsylvania) | Primary |
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