Provider Demographics
NPI:1861867699
Name:UNGER, ALEXANDRA KASSIMIR (DPT)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:KASSIMIR
Last Name:UNGER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:ALEXANDRA
Other - Middle Name:BAUM
Other - Last Name:KASSIMIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23 OAKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-4229
Mailing Address - Country:US
Mailing Address - Phone:631-629-5507
Mailing Address - Fax:
Practice Address - Street 1:23 OAKWOOD RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-4229
Practice Address - Country:US
Practice Address - Phone:631-629-5507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-04
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174N00000X
NY037832225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174N00000XOther Service ProvidersLactation Consultant, Non-RN