Individual
TERRON ALEXIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 HUDSON ST FL 4, NEW YORK, NY 10013-2858
(855) 444-7258
Mailing address
202 E 55TH ST APT 2R, BROOKLYN, NY 11203-3751
(347) 260-7642
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
737804
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404102-01
NY
Other
Enumeration date
03/30/2018
Last updated
09/01/2022
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