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Alexandra Marie Mezzanotte Quinn

Physician Assistant in Great Neck, NY. Individual provider (NPI-1).

NPI number1629550769
StatusActive
Last updated in NPPESMar 13, 2023

Details

NPI
1629550769
Entity type
Individual (NPI-1)
Name
Alexandra Marie Mezzanotte Quinn
Sex
Female
Sole proprietor
No
Enumeration date
Sep 5, 2018
Certification date
Mar 13, 2023
Last updated
Mar 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

611 Northern Blvd
Great Neck, NY 11021-5207

Phone 516-773-7500

Mailing address

611 Northern Blvd
Great Neck, NY 11021-5207

Phone 516-723-2663

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