Individual
ALEXANDRA MONDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
97 SOMERSET AVE, MASTIC, NY 11950-4223
(631) 365-3136
Mailing address
97 SOMERSET AVE, MASTIC, NY 11950-4223
(631) 365-3136
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330240
NY
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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