Individual
MRS. ALEXANDRA MARTE PENALVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
763 LARKFIELD RD FL 2, COMMACK, NY 11725-3131
(631) 837-2359
Mailing address
281 LILAC LN, SMITHTOWN, NY 11787-4412
(201) 587-3821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR19050600
NJ
163W00000X
Registered Nurse
800796
NY
163W00000X
Registered Nurse
RN9443931
FL
363L00000X
Nurse Practitioner
Primary
356891
NY
Other
Enumeration date
03/13/2025
Last updated
09/16/2025
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