Individual
ALEXANDRA EBOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E 66TH ST, NEW YORK, NY 10065-6800
(646) 888-6898
Mailing address
300 E 66TH ST, NEW YORK, NY 10065-6800
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
26NR19457000
NJ
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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