Provider Demographics
NPI:1336430545
Name:HOWARD, ALEXANDRIA DANIELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRIA
Middle Name:DANIELLE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:97 ENTERPRISE DR # 11144
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-8335
Mailing Address - Country:US
Mailing Address - Phone:216-526-9619
Mailing Address - Fax:
Practice Address - Street 1:600 STONY BROOK CT
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-6524
Practice Address - Country:US
Practice Address - Phone:845-391-8557
Practice Address - Fax:845-608-8270
Is Sole Proprietor?:No
Enumeration Date:2011-04-21
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY295224207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05377220Medicaid