Individual
GEORGETTE ALEXIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
650 FULTON ST, BROOKLYN, NY 11217-1517
(718) 596-9800
(718) 855-5628
Mailing address
650 FULTON ST, BROOKLYN, NY 11217-1517
(718) 596-9800
(718) 855-5628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101242618
VA
207Q00000X
Family Medicine Physician
045957
CT
207Q00000X
Family Medicine Physician
Primary
248667
NY
Other
Enumeration date
04/13/2009
Last updated
08/29/2013
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