Provider Demographics
NPI:1295887537
Name:BOVEE, ALISSA (SCM)
Entity type:Individual
Prefix:MRS
First Name:ALISSA
Middle Name:
Last Name:BOVEE
Suffix:
Gender:F
Credentials:SCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 SUMMERHILL DR
Mailing Address - Street 2:APT 1
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-2821
Mailing Address - Country:US
Mailing Address - Phone:202-841-8029
Mailing Address - Fax:607-724-8290
Practice Address - Street 1:124 FRONT ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905-3102
Practice Address - Country:US
Practice Address - Phone:607-724-4308
Practice Address - Fax:607-724-8290
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS