Individual
ALEXANDRA ROSE PESKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 WEDGEWOOD LN, MILLER PLACE, NY 11764-2744
(631) 522-8449
Mailing address
8 WEDGEWOOD LN, MILLER PLACE, NY 11764-2744
(631) 522-8449
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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