MEDICARE: ALEXANDRA NOEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	338903	NY

General Provider Information

NPI Number	:	1114817756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA NOEL

Provider Business Mailing Address
First Line	:	273 W CLARKSTOWN RD
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-7224
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	273 W CLARKSTOWN RD
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-7224
Country	:	US
Telephone Number	:	847-331-5659
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2025
Last Update Date	:	07/07/2025

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Directions to “ ALEXANDRA NOEL ” Practice Location

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