Most Relevant Information
Provider Data
| NPI Number: | 1003674128 |
| Provider Name: | ALEXANDRA FRANCES MANETTA |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | F353659 |
Most Important Dates
| Enumeration Date: | 03/12/2024 |
| Last Updated: | 03/12/2024 |
Provider Practice Location
73 DOWNES AVE
STATEN ISLAND
NY
103124025
Practice Location Phone/Fax
| Phone: | 7185170654 |
| Fax: |
Provider Mailing Location
73 DOWNES AVE
STATEN ISLAND
NY
103124025
Provider Mailing Phone/Fax
| Phone: | 7185170654 |
| Fax: |