Individual
ALEXIS NICOLE MANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1200 ROUTE 300, NEWBURGH, NY 12550-5003
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
024834
NY
Other
Enumeration date
05/29/2020
Last updated
10/09/2020
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