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General NPI Number Information
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NPI Number | 1720783814
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Entity Type | Individual
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Provider Name | ALEXA ROSE DISILVIO MSN, APRN, FNP
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Gender | Female
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Dates
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Enumeration Date | 03/30/2023
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 263 OLD HAVERSTRAW RD
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City | CONGERS
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State | NY
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Zip | 10920-1227
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Country | US
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Telephone | 845-821-4085
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Fax |
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Provider Business Mailing Address
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Address Line | 880 S LAKE BLVD STE 301
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City | MAHOPAC
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State | NY
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Zip | 10541-4771
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Country | US
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Telephone | 845-821-4085
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F351573-01
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License Number State | NY
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