Individual
ALEXA LEE BRACCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22 DEL PL, HAUPPAUGE, NY 11788-1619
(631) 652-5079
Mailing address
22 DEL PL, HAUPPAUGE, NY 11788-1619
(631) 652-5079
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
817640
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
817640
RN
NY
Enumeration date
07/06/2021
Last updated
07/06/2021
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