Provider Demographics
NPI:1508059056
Name:ALEXANDER, MARSHA (DO)
Entity Type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356 VETERANS MEMORIAL HWY
Mailing Address - Street 2:SUITE NUMBER 6
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-4343
Mailing Address - Country:US
Mailing Address - Phone:516-779-3300
Mailing Address - Fax:
Practice Address - Street 1:356 VETERANS MEMORIAL HWY
Practice Address - Street 2:SUITE NUMBER 6
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-4343
Practice Address - Country:US
Practice Address - Phone:516-779-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-18
Last Update Date:2007-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2378522084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry