MEDICARE: ANNICKA ALEXANDER

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	163W00000X	Registered Nurse	788570	NY

General Provider Information

NPI Number	:	1225429962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNICKA ALEXANDER

Provider Business Mailing Address
First Line	:	1137 WESTCHESTER AVE
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10604-3524
Country	:	US
Telephone Number	:	617-529-8037
Fax Number	:

Provider Business Practice Location Address
First Line	:	1137 WESTCHESTER AVE
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10604-3524
Country	:	US
Telephone Number	:	617-529-8037
Fax Number	:

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

Provider Enumeration Date	:	02/17/2015
Last Update Date	:	11/06/2025

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Directions to “ ANNICKA ALEXANDER ” Practice Location

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