Individual
MS. ALEXANDRA J MAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2527 GLEBE AVE, BRONX, NY 10461-3109
(718) 904-4474
Mailing address
2527 GLEBE AVE, BRONX, NY 10461-3109
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304974
NY
Other
Enumeration date
11/28/2012
Last updated
09/24/2014
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