Provider Demographics
NPI:1942997952
Name:RIGGI, ALEXIS ANNA (LPN)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:ANNA
Last Name:RIGGI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 IMPERIAL DR
Mailing Address - Street 2:
Mailing Address - City:SELDEN
Mailing Address - State:NY
Mailing Address - Zip Code:11784-1764
Mailing Address - Country:US
Mailing Address - Phone:631-487-8205
Mailing Address - Fax:
Practice Address - Street 1:1173 N COUNTRY RD
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-1916
Practice Address - Country:US
Practice Address - Phone:631-444-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY306791-01164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse