Individual
ALEXANDRA MARIE MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2835 MIDDLE COUNTRY RD, LAKE GROVE, NY 11755-2105
(631) 467-3564
(631) 471-2236
Mailing address
11 WILSON PL, LINDENHURST, NY 11757-5935
(631) 560-6666
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018422
NY
Other
Enumeration date
02/09/2015
Last updated
05/18/2021
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