Individual
ALEXA PAVESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 PARKSIDE CT UNIT 2E, COPIAGUE, NY 11726-4737
(631) 335-9061
Mailing address
225 PARKSIDE CT UNIT 2E, COPIAGUE, NY 11726-4737
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030579-01
NY
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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