MEDICARE: FRANCES COHEN ALEXANDER PNP

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	163WP0200X	Pediatric Registered Nurse	000140	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396761813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCES COHEN ALEXANDER PNP

Provider Business Mailing Address
First Line	:	1037 MAIN ST
Second Line	:	ATTN: CREDENTIALING
City	:	PEEKSKILL
State	:	NY
Zip	:	10566-2913
Country	:	US
Telephone Number	:	914-734-8858
Fax Number	:	914-734-8786

Provider Business Practice Location Address
First Line	:	11 PILCH DR
Second Line	:	HUDSON RIVER HEALTHCARE, INC.
City	:	PINE PLAINS
State	:	NY
Zip	:	12567-5657
Country	:	US
Telephone Number	:	518-398-1100
Fax Number	:	518-398-7108

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

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	12/20/2011

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