Individual
ALEXA MARNALSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 ABBINGTON CT, COPIAGUE, NY 11726
(646) 894-0405
Mailing address
61 PINETREE DR, PARLIN, NJ 08859-1156
(646) 894-0405
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
096773-1
NY
Other
Enumeration date
08/28/2016
Last updated
03/24/2022
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