Individual
ALEXANDRA PEDICONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0265
(631) 444-7411
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
304508
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
03/27/2017
Last updated
08/19/2020
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