Individual
ALEXIS FORDYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HOWELLS RD, BAY SHORE, NY 11706-5351
(631) 264-4521
Mailing address
200 HOWELLS RD, BAY SHORE, NY 11706-5351
(631) 264-4521
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F312367-01
NY
Other
Enumeration date
09/06/2025
Last updated
10/24/2025
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