Individual
ALEXA AMBER VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4000
Mailing address
240 E 39TH ST APT 3J, NEW YORK, NY 10016-7201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
765306
NY
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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