Alexandra Recine, MAOTR

Primary specialty

SpecialistTaxonomy code 174400000X

License

005917-1 Issued in NY

Practice address

691 Route 25a
Miller Place, NY 11764

Phone

(631) 821-7227

Fax

(631) 821-3588

NPI assigned

Feb 5, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Alexandra Escobar Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710026224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SOUTH BAY AV E",
            "city": "EASTPORT",
            "state": "NY",
            "postal_code": "11941",
            "telephone_number": "631-325-8133",
            "fax_number": "631-325-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 ROUTE 25A",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "11764",
            "telephone_number": "631-821-7227",
            "fax_number": "631-821-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECINE",
        "first_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "MAOTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "005917-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENCE",
            "identifier": "005917-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "ESCOBAR",
            "prefix": "MRS.",
            "credential": "MAOTR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Pamela Jane Rathburn, NP
• Patricia Grace Redican
• David Francis Rees, RPH
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• Marc Benson Richling, D.D.S.

• Specialist in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.