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Ms. Alix Walczuk, MA
Student in an Organized Health Care Education/Training Program in Coram, New York
NPI 1669994463

Alix Walczuk is a Student in an Organized Health Care Education/Training Program based in Flushing, NY. Alix Walczuk practices in Coram, NY and has the professional credentials of MA. The NPI Number for Alix Walczuk is 1669994463 and holds a License No. (New York).

The current practice location address for Alix Walczuk is 3600 Route 112, Coram, NY and can be reached out via phone at 631-920-8500.

Location: 3600 Route 112, Coram, NY, 11351-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669994463
Provider Name
Alix Walczuk
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
3600 Route 112, Coram, NY, 11351-3000
Phone Number
631-920-8500
Fax Number
Provider Enumeration Date
07/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3600 Route 112
City
Coram
State
New York
Zip
11727-4116
Phone Number
631-920-8500
Fax Number
person
Provider Business Mailing Address Details
Address
3600 Route 112
City
Coram
State
New York
Zip
11727-4116
Phone Number
631-920-8500
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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