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Individual

ALEXA GOLDSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
255 EXECUTIVE DR STE LL105, PLAINVIEW, NY 11803-1718
(516) 576-0962
Mailing address
206 GREEN ACRES RD, VALLEY STREAM, NY 11581-1508
(732) 946-3074

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
388659

Other

Enumeration date
08/07/2017
Last updated
08/07/2017
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