Individual
MARA ALEXIS MCCROSSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2263
(516) 674-7300
Mailing address
751 HEMPSTEAD AVE, WEST HEMPSTEAD, NY 11552-3230
(516) 902-0213
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308239
NY
Other
Enumeration date
05/25/2017
Last updated
11/14/2021
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