Individual
KRYSTAL REXANNE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-2762
(631) 444-3869
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-3869
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
325210
NY
207RP1001X
Pulmonary Disease Physician
Primary
325210
NY
Other
Enumeration date
03/27/2017
Last updated
08/12/2023
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