Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 280754 | NJ |
NPI | 1023774320 |
---|---|
Provider Name | Mr. Alexander Saitta |
First Address | East Meadow, NY 11554-2410 |
Second Address | East Meadow, NY 11554-2410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2021 |
Last Update Date | 10/11/2021 |