Individual
ALEXIS MONIQUE SEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 ROUTE 112, CORAM, NY 11727-4116
(631) 920-8500
Mailing address
3600 ROUTE 112, CORAM, NY 11727-4116
(631) 920-8500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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