Healthcare Provider Details

I. General information

NPI: 1881558849
Provider Name (Legal Business Name): ANAJAIRA ALCANTARA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1335 GARDINER DR
BAY SHORE NY
11706-3710
US

IV. Provider business mailing address

1335 GARDINER DR
BAY SHORE NY
11706-3710
US

V. Phone/Fax

Practice location:
  • Phone: 631-624-8266
  • Fax:
Mailing address:
  • Phone: 631-624-8266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number358426
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: