Pedersen, Alesha J

Pedersen, Alesha J is an individual health care provider with primary practice located at 3 Lyon Pl Ste 303 , Ogdensburg NY 13669-2546. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Pedersen, Alesha J can be contacted via phone (315) 713-6700.

Contact Information

Primary practice address
3 Lyon Pl Ste 303 Ogdensburg NY 13669-2546
Phone: (315) 713-6700
Fax: (866) 816-0815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0010-02901 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 014198 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X P76871 New York

Profile Details

NPI number 1578878187
LBN Legal business name Pedersen, Alesha J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2010
Last updated Sep 12th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578878187 NPPES
New York MEDICAID 03272608

Popular Providers