Individual
ALEXANDRA SMOTRITSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TEACHER
Contact information
Practice address
406 BEACH 144TH ST, FAR ROCKAWAY, NY 11694-1119
(718) 928-8524
Mailing address
406 BEACH 144TH ST, FAR ROCKAWAY, NY 11694-1119
(718) 928-8524
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3542784
NY
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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