ALEXIS MACK

AMITYVILLE, NY
NPI1992097802
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  293904-1)
Enumeration Date2011-05-11
Last Update Date2011-05-11
Business Address
-- ALEXIS MACK LPN
2 CAHILL ST
AMITYVILLE, NY 11701-1858
Phone number: 631-789-8525
Mailing Address
-- ALEXIS MACK LPN
2 CAHILL ST
AMITYVILLE, NY 11701-1858
Phone number: 631-789-8525