Individual
ALEXA MAVROUDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2571 47TH ST, ASTORIA, NY 11103-1108
(929) 277-1253
Mailing address
2571 47TH ST, ASTORIA, NY 11103-1108
(929) 277-1253
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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