Healthcare Provider Details

I. General information

NPI: 1023774320
Provider Name (Legal Business Name): ALEXANDER SAITTA NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1436 BROADWAY
HEWLETT NY
11557-1405
US

IV. Provider business mailing address

1436 BROADWAY
HEWLETT NY
11557-1405
US

V. Phone/Fax

Practice location:
  • Phone: 516-563-7200
  • Fax: 516-563-7295
Mailing address:
  • Phone: 516-512-0149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number280754
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF349025-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: