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Individual

ALEXA A BUONGIORNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11 E WILLIAM ST, BAY SHORE, NY 11706-6804
(631) 741-5179
Mailing address
19 HOMAN AVE, BAY SHORE, NY 11706-8820
(631) 987-1330

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
343690
NY

Other

Enumeration date
07/07/2023
Last updated
07/07/2023
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