Individual
ALEXANDRA MOUTAFIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14574 8TH AVE, WHITESTONE, NY 11357-1657
(917) 626-2843
Mailing address
14574 8TH AVE, WHITESTONE, NY 11357-1657
(718) 746-4108
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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