Individual
ALEXA FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 AMBOY RD, OAKDALE, NY 11769-1520
(631) 316-4506
Mailing address
23 AMBOY RD, OAKDALE, NY 11769-1520
(631) 316-4506
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
794753
NY
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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