Individual
ALEXANDRA TARYGUINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11 LEONARD DR, EAST NORTHPORT, NY 11731-1447
(646) 409-2501
Mailing address
11 LEONARD DR, EAST NORTHPORT, NY 11731-1447
(646) 409-2501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
767701
NY
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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