Individual
ALEXANDRA VALESCOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
998 CROOKED HILL RD, W BRENTWOOD, NY 11717-1019
(631) 761-3500
Mailing address
74 LAURIE RD, BRENTWOOD, NY 11717-7320
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
287343-1
NY
Other
Enumeration date
10/11/2012
Last updated
03/12/2020
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