NPI 1023853439

Alexander Membreno

Practitioner Peer Specialist Hicksville, NY

Practice location

Address: 950 S Oyster Bay Rd, Hicksville, NY 11801-3510
Phone: (516) 760-9636

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1023853439
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jun 2024
Record last updated: 27 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.