MEDICARE: DEBORAH JANE ALEXANDER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	462640	NY

General Provider Information

NPI Number	:	1326683806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH JANE ALEXANDER

Provider Business Mailing Address
First Line	:	100 ALDRICH ST APT 6E
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-4557
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 ALDRICH ST APT 6E
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-4557
Country	:	US
Telephone Number	:	646-831-1075
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2019
Last Update Date	:	11/08/2019

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Directions to “ DEBORAH JANE ALEXANDER ” Practice Location

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