Individual
ALEXIS PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1444 5TH AVE, BAY SHORE, NY 11706-4147
(631) 647-3100
Mailing address
22 CHERRY ST, CENTRAL ISLIP, NY 11722-4141
(631) 452-0097
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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