Healthcare Provider Details

I. General information

NPI: 1497664205
Provider Name (Legal Business Name): ALEXIA MCCREE-THOMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1977 RALPH AVE STE B
BROOKLYN NY
11234-5416
US

IV. Provider business mailing address

1977 RALPH AVE STE B
BROOKLYN NY
11234-5416
US

V. Phone/Fax

Practice location:
  • Phone: 718-444-0092
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number736228
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: