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NPI Code Detail

MEDICARE: ALEXA MACEY

MEDICARE:   ALEXA  MACEY
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
1164W00000XLicensed Practical Nurse324436NY

General Provider Information

NPI Number : 1811407034
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA MACEY
Provider Business Mailing Address
First Line : 43 HEINRICK CIR
Second Line :
City : QUEENSBURY
State : NY
Zip : 12804-1925
Country : US
Telephone Number : 518-338-9876
Fax Number :
Provider Business Practice Location Address
First Line : 375 BAY RD
Second Line :
City : QUEENSBURY
State : NY
Zip : 12804-3012
Country : US
Telephone Number : 518-338-9876
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2017
Last Update Date : 05/09/2022

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Directions to “ ALEXA MACEY ” Practice Location

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