MEDICARE: ALISON M JOSEPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	306918	NY

General Provider Information

NPI Number	:	1710394051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON M JOSEPH

Provider Business Mailing Address
First Line	:	20 PROSPECT ST STE 202
Second Line	:
City	:	BALLSTON SPA
State	:	NY
Zip	:	12020-1367
Country	:	US
Telephone Number	:	518-300-3952
Fax Number	:	518-864-1694

Provider Business Practice Location Address
First Line	:	20 PROSPECT ST STE 202
Second Line	:
City	:	BALLSTON SPA
State	:	NY
Zip	:	12020-1367
Country	:	US
Telephone Number	:	518-300-3952
Fax Number	:	518-864-1694

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2014
Last Update Date	:	04/16/2025

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