Healthcare Provider Details

I. General information

NPI: 1003740572
Provider Name (Legal Business Name): ALEXA MICHELLE MIHALE AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 YORK AVE
NEW YORK NY
10065-4805
US

IV. Provider business mailing address

2925 OAK CT
OCEANSIDE NY
11572-3422
US

V. Phone/Fax

Practice location:
  • Phone: 646-962-3681
  • Fax:
Mailing address:
  • Phone: 516-214-7629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: