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Alexandra M Carnival
Family Nurse Practitioner in Miller Place, New York
NPI 1992410781

Alexandra M Carnival is a Family Nurse Practitioner based in Miller Place, NY and is specialized in Family. Alexandra M Carnival practices in Miller Place, NY. The NPI Number for Alexandra M Carnival is 1992410781 and holds a License No. 308885 (New York).

The current practice location address for Alexandra M Carnival is 275 Route 25A Ste 32, Miller Place, NY and can be reached out via phone at 631-409-8219.

Location: 275 Route 25A Ste 32, Miller Place, NY, 11764-3100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992410781
Provider Name
Alexandra M Carnival
Credential
Provider Entity Type
Individual
Gender
Female
Address
275 Route 25A Ste 32, Miller Place, NY, 11764-3100
Phone Number
631-409-8219
Fax Number
Provider Enumeration Date
01/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
275 Route 25A Ste 32
City
Miller Place
State
New York
Zip
11764-2427
Phone Number
631-409-8219
Fax Number
person
Provider Business Mailing Address Details
Address
275 Route 25A Ste 32
City
Miller Place
State
New York
Zip
11764-2427
Phone Number
631-409-8219
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
308885 (New York)
Definition
Definition to come...
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