Individual
ALEXIA BOUMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11835 QUEENS BLVD STE 400, FOREST HILLS, NY 11375-7211
(646) 722-7610
Mailing address
PO BOX 639295, CINCINNATI, OH 45263-9295
(248) 266-4200
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311504-01
NY
Other
Enumeration date
02/23/2024
Last updated
03/23/2024
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