Individual
ALEXANDRA ATHENA CHRISTIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1899
(315) 448-5111
Mailing address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F349606
NY
363LF0000X
Family Nurse Practitioner
F349606
NY
Other
Enumeration date
06/17/2022
Last updated
11/07/2023
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