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Mrs. Alexa Louise Sullivan
Specialist in Hicksville, New York
NPI 1295157022

Alexa Louise Sullivan is a Specialist based in Hicksville, NY. Alexa Louise Sullivan practices in Hicksville, NY. The NPI Number for Alexa Louise Sullivan is 1295157022 and holds a License No. 697052 (New York).

The current practice location address for Alexa Louise Sullivan is 2 Garden Blvd, Hicksville, NY and can be reached out via phone at 516-902-1103.

Location: 2 Garden Blvd, Hicksville, NY, 11801-5925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295157022
Provider Name
Alexa Louise Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
2 Garden Blvd, Hicksville, NY, 11801-5925
Phone Number
516-902-1103
Fax Number
Provider Enumeration Date
01/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2 Garden Blvd
City
Hicksville
State
New York
Zip
11801-5925
Phone Number
516-902-1103
Fax Number
person
Provider Business Mailing Address Details
Address
2 Garden Blvd
City
Hicksville
State
New York
Zip
11801-5925
Phone Number
516-902-1103
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
697052 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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