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1700652013
ALEXANDRA DESPINA FONTANA
BAY SHORE, NY
NPI
1700652013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F351883)
Enumeration Date
2023-11-28
Last Update Date
2024-10-02
Business Address
ALEXANDRA DESPINA FONTANA NP
340 HOWELLS RD STE 2B
BAY SHORE, NY 11706-5322
Phone number: 833-547-7463
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Mailing Address
ALEXANDRA DESPINA FONTANA NP
100 MOTOR PKWY STE LL8
HAUPPAUGE, NY 11788
Phone number: 833-547-7463
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