Individual
ALEXA MACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
375 BAY RD, QUEENSBURY, NY 12804-3012
(518) 338-9876
Mailing address
43 HEINRICK CIR, QUEENSBURY, NY 12804-1925
(518) 338-9876
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324436
NY
Other
Enumeration date
10/02/2017
Last updated
05/09/2022
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