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Individual

ALEXANDRA PECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2 MONTAUK HWY, SOUTHAMPTON, NY 11968-4199
(646) 962-9920
Mailing address
92 EVERGREEN AVE, EAST MORICHES, NY 11940-1538
(631) 603-2956

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
348706
NY

Other

Enumeration date
11/08/2021
Last updated
07/13/2023
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