Individual
ALEXA NICOLE MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
450 N STATE RD, BRIARCLIFF MANOR, NY 10510-1451
(914) 488-5763
Mailing address
450 N STATE RD, BRIARCLIFF MANOR, NY 10510-1451
(914) 488-5763
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032161
NY
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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