Individual
ALEXIS BREEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1300 ROANOKE AVE, RIVERHEAD, NY 11901-2031
(631) 833-5215
Mailing address
53 HART AVE, FLANDERS, NY 11901-4013
(631) 833-5215
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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