Individual
ALEXANDRA MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 654-7100
Mailing address
125 BLUEBERRY DR, DEPOSIT, NY 13754-3726
(631) 372-9574
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
784560
NY
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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