Individual
ALEXA LAUREN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 SCHENCK AVE, 1A, GREAT NECK, NY 11021-3643
(516) 445-0056
Mailing address
90 SCHENCK AVE, 1A, GREAT NECK, NY 11021-3643
(516) 445-0056
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/26/2012
Last updated
05/02/2017
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