Elizabeth G Alexis
Individual provider Active NPI Early Intervention Provider Agency · Medford, NY
NPI 1245385707 · NPPES record last updated May 9, 2017
Key facts
- NPI
- 1245385707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- Practice address
- 19 Gray Ave
Medford, NY 11763-1035 - Phone
- (631) 846-6720
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Yes | ||
| Interpreter | 171R00000X |
Addresses
Primary practice location
19 Gray Ave
Medford, NY 11763-1035
Mailing address
19 Gray Ave
Medford, NY 11763-1035
Phone (631) 846-6720
Other providers in Medford, NY
- Kehinde M Ajikobi
- Foluke Adesola Akinola
- Adesayo Olawale Akinsanya
- Jyothi Alamuri
- Brianna Albano-Niedzwieski
- All Clean Cleaning and Maintenance
- Nicole Katelyn Amato
- David Amram
- Kerry Anderson
- Breanna Andrews
All providers in Medford, NY · Early Intervention Provider Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.