Individual
JACK ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 WOODBINE AVE, NORTHPORT, NY 11768-2897
(631) 897-7133
Mailing address
6 JULIET LN, NORTHPORT, NY 11768-1317
(631) 897-7133
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006270
NY
Other
Enumeration date
09/04/2018
Last updated
09/01/2023
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