Individual
MICHAEL ALEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 654-7100
Mailing address
816 MORLEY AVE, NIAGARA FALLS, NY 14305-1546
(716) 628-7434
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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