Individual
ALEC THUNDERCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NSUH-DEPT OF PEDIATRICS, 865 NORTHERN BOULEVARD, GREAT NECK, NY 11021
(516) 622-5050
Mailing address
NSUH-DEPT OF PEDIATRICS, 865 NORTHERN BOULEVARD, GREAT NECK, NY 11021
(516) 622-5050
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
221858
NY
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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