Individual
ALEXANDRA MUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 MAGNET ST, STONY BROOK, NY 11790-2845
(631) 576-9117
Mailing address
30 MAGNET ST, STONY BROOK, NY 11790-2845
(631) 576-9117
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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