Individual
ALEXA SAMANTHA ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
109 CARROLL AVE, VALLEY STREAM, NY 11580-2917
(516) 606-4488
Mailing address
109 CARROLL AVE, VALLEY STREAM, NY 11580-2917
(516) 606-4488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
068442
NY
Other
Enumeration date
10/17/2021
Last updated
10/17/2021
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