Individual
ALEXANDRA M CARNIVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-2427
(631) 689-8333
Mailing address
185 TYLER AVE, MILLER PLACE, NY 11764-3100
(631) 741-0933
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
350594
NY
Other
Enumeration date
01/17/2023
Last updated
07/26/2024
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