Individual
ALEXA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
50 ROUTE 25A, SMITHTOWN, NY 11787-1348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023234
NY
Other
Enumeration date
02/07/2019
Last updated
04/15/2026
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