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DR. ALEX MICHAEL CONVISSAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-2945
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
303798
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/22/2017
Last updated
11/10/2021
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