Provider Demographics
NPI:1700373156
Name:ALEXANDER & ALEXANDER MEDICAL PC
Entity Type:Organization
Organization Name:ALEXANDER & ALEXANDER MEDICAL PC
Other - Org Name:MDCARE CONCIERGE MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:STERLING
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-425-7256
Mailing Address - Street 1:545 CALEDONIA RD
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-7715
Mailing Address - Country:US
Mailing Address - Phone:631-425-7256
Mailing Address - Fax:
Practice Address - Street 1:545 CALEDONIA RD
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-7715
Practice Address - Country:US
Practice Address - Phone:631-425-7256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-20
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2213811207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty