Individual
MRS. ALEXANDRA RECINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAOTR
Contact information
Practice address
691 ROUTE 25A, MILLER PLACE, NY 11764
(631) 821-7227
(631) 821-3588
Mailing address
40 SOUTH BAY AV E, EASTPORT, NY 11941
(631) 325-8133
(631) 325-8133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
005917-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005917-1
PROFESSIONAL LICENCE
NY
Enumeration date
02/05/2007
Last updated
07/08/2007
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