Individual
ALEXANDRA DESPINA FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
340 HOWELLS RD STE 2B, BAY SHORE, NY 11706-5322
(833) 547-7463
(631) 318-9830
Mailing address
100 MOTOR PKWY STE LL8, HAUPPAUGE, NY 11788
(833) 547-7463
(631) 318-9830
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F351883
NY
Other
Enumeration date
11/28/2023
Last updated
10/02/2024
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