Provider Demographics
NPI:1578866380
Name:ALEXANDER, MILLET (RD)
Entity Type:Individual
Prefix:
First Name:MILLET
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 BRETTON RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-3412
Mailing Address - Country:US
Mailing Address - Phone:917-379-0153
Mailing Address - Fax:
Practice Address - Street 1:26 BRETTON RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-3412
Practice Address - Country:US
Practice Address - Phone:917-379-0153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-16
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered