Individual
MRS. SANDRA AGENOR-ALEXANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
35 BROADWAY STE 1, HICKSVILLE, NY 11801-4284
(516) 505-7200
Mailing address
510 HEMPSTEAD TPKE RM 203, WEST HEMPSTEAD, NY 11552-1152
(516) 505-7200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403747-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
403747
STATE LICENSE
NY
Enumeration date
12/13/2021
Last updated
05/27/2025
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