Individual
MRS. ALEXANDRA BONGIORNO GOITIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17 BANK AVE, SMITHTOWN, NY 11787-2703
(631) 265-5300
Mailing address
916 CHARLES POND DR, CORAM, NY 11727-3754
(631) 521-3990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
752184
NY
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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