Individual
ALEXIS CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 EASTVIEW DR, CENTRAL ISLIP, NY 11722-4539
(631) 665-1600
Mailing address
34 LAKESHORE BLVD, MASSAPEQUA, NY 11758-5901
(315) 256-6219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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