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Individual

ALEXANDRA DANIELLE MARTINOLICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
888 OLD COUNTRY RD, PLAINVIEW, NY 11803-4914
(516) 719-3000
Mailing address
19 DALE RD, HALESITE, NY 11743-1420
(631) 827-7084

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
06/21/2022
Last updated
06/21/2022
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