Individual
ALEXIS M MONDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP FNP
Contact information
Practice address
161 CAREY RD, QUEENSBURY, NY 12804-7821
(518) 824-8610
(518) 824-2390
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
340935
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
405903
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04592958
—
NY
Enumeration date
07/29/2016
Last updated
04/14/2026
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