Most Relevant Information
Provider Data
| NPI Number: | 1003509985 |
| Provider Name: | ALEXANDRA M. SELBERG |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/29/2023 |
| Last Updated: | 05/29/2023 |
Provider Practice Location
22 E 88TH ST APT 4F
NEW YORK
NY
101280509
Practice Location Phone/Fax
| Phone: | 9179725995 |
| Fax: |
Provider Mailing Location
22 E 88TH ST APT 4F
NEW YORK
NY
101280509
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |