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NPI Code Detail

MEDICARE: ALEXANDRA NATHANIA GEYFMAN

MEDICARE:   ALEXANDRA NATHANIA GEYFMAN
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1164217774
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA NATHANIA GEYFMAN
Provider Business Mailing Address
First Line : 525 PINE ST
Second Line :
City : SCRANTON
State : PA
Zip : 18509-3240
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 525 PINE ST
Second Line :
City : SCRANTON
State : PA
Zip : 18509-3240
Country : US
Telephone Number : 570-878-2202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2025
Last Update Date : 04/14/2025

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Directions to “ ALEXANDRA NATHANIA GEYFMAN ” Practice Location

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