Provider Demographics
NPI:1548086929
Name:SADWICK, ALYSSA L (CLC)
Entity type:Individual
Prefix:MS
First Name:ALYSSA
Middle Name:L
Last Name:SADWICK
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 MELVILLE ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609-5231
Mailing Address - Country:US
Mailing Address - Phone:585-590-7403
Mailing Address - Fax:
Practice Address - Street 1:332 MELVILLE ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-5231
Practice Address - Country:US
Practice Address - Phone:585-590-7403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula