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Individual

ALEXANDER GUMBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
47 STUART DR, SYOSSET, NY 11791-5123
(718) 501-7859
Mailing address
47 STUART DR, SYOSSET, NY 11791-5123
(718) 501-7859

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F339743
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402677
NY

Other

Enumeration date
07/06/2015
Last updated
04/05/2021
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