Healthcare Provider Details

I. General information

NPI: 1568855591
Provider Name (Legal Business Name): NAIMA ALEXANDER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NAIMA BEGUM PA-C

II. Dates (important events)

Enumeration Date: 03/16/2015
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 DUFF PL STE A
SEAFORD NY
11783-1324
US

IV. Provider business mailing address

PO BOX 2000
EAST SYRACUSE NY
13057-4500
US

V. Phone/Fax

Practice location:
  • Phone: 516-520-8080
  • Fax: 516-520-8877
Mailing address:
  • Phone: 315-362-5129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number018549
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: