Provider Demographics
NPI:1154099398
Name:MARKEL, ALEXANDRA M (OTR/L)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:M
Last Name:MARKEL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 BRIGHTON BEACH AVE APT 3CC
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-5515
Mailing Address - Country:US
Mailing Address - Phone:917-626-6170
Mailing Address - Fax:
Practice Address - Street 1:307 EAGLE AVE
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-3819
Practice Address - Country:US
Practice Address - Phone:516-986-9580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025880-01225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist