Individual
ELIZABETH G ALEXIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 GRAY AVE, MEDFORD, NY 11763-1035
(631) 846-6720
Mailing address
19 GRAY AVE, MEDFORD, NY 11763-1035
(631) 846-6720
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
05/09/2017
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