Individual
ALEXA TOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
236 SPUR DR S, BAY SHORE, NY 11706-3915
(929) 427-4498
Mailing address
236 SPUR DR S, BAY SHORE, NY 11706-3915
(929) 427-4498
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
343675
NY
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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