=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912829698
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MEGAN ANN ALFREDSEN NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/27/2026
-----------------------------------------------------
Last Update Date | 07/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 180 SUNRISE HWY
-----------------------------------------------------
City | WEST ISLIP
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11795-2012
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-893-0150
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 570 TAXTER RD STE 250
-----------------------------------------------------
City | ELMSFORD
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10523-2349
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-761-6566
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | F359881-01
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------