Individual
ALEXANDRA ANTONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 BYWAY DR, DEER PARK, NY 11729-6204
(631) 357-1343
Mailing address
49 BYWAY DR, DEER PARK, NY 11729-6204
(631) 357-1343
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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