MEDICARE: MISS ALEXANDRA ROSE COX LMT

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	225700000X	Massage Therapist	024682	NY

General Provider Information

NPI Number	:	1770289001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ALEXANDRA ROSE COX LMT

Provider Business Mailing Address
First Line	:	203 HORTON CT
Second Line	:
City	:	MANORVILLE
State	:	NY
Zip	:	11949-1107
Country	:	US
Telephone Number	:	631-902-8723
Fax Number	:

Provider Business Practice Location Address
First Line	:	984 N BROADWAY STE L08
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10701-1319
Country	:	US
Telephone Number	:	914-207-8270
Fax Number	:

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

Provider Enumeration Date	:	02/07/2023
Last Update Date	:	02/07/2023

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