Individual
ALEXA DOROTHY TABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 FALMOUTH DR, MOUNT SINAI, NY 11766-2724
(631) 827-1609
Mailing address
41 FALMOUTH DR, MOUNT SINAI, NY 11766-2724
(631) 827-1609
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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