Organization
ALEXIS SIMON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS FORDYCE (NP)
(631) 264-4521
Entity
Organization
Contact information
Practice address
2209 MERRICK RD STE 202, MERRICK, NY 11566-4770
(631) 264-4521
Mailing address
2209 MERRICK RD STE 202, MERRICK, NY 11566-4770
(631) 264-4521
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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