Provider Demographics
NPI:1306257647
Name:LINARDAKIS, ALEXANDRA (RN)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:LINARDAKIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 ONEIL ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-3508
Mailing Address - Country:US
Mailing Address - Phone:845-222-5536
Mailing Address - Fax:845-684-0551
Practice Address - Street 1:59 ONEIL ST STE 2A
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3508
Practice Address - Country:US
Practice Address - Phone:845-222-5536
Practice Address - Fax:845-684-0551
Is Sole Proprietor?:No
Enumeration Date:2014-05-08
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY660459163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health