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Individual

ALEXIS M MONDELLA

Active
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Individual

ALEXIS M MONDELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NPP FNP

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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