Individual
DR. ALEXANDRE B DE MOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
761 MERRICK AVE, WESTBURY, NY 11590-6608
(516) 357-8777
(516) 357-7251
Mailing address
761 MERRICK AVE, WESTBURY, NY 11590-6608
(516) 357-8777
(516) 357-7251
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
1194051
NY
Other
Enumeration date
12/08/2006
Last updated
03/05/2013
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