Provider Demographics
NPI:1568260891
Name:ALEXANDRE, MARIE SANDRA
Entity type:Individual
Prefix:MS
First Name:MARIE SANDRA
Middle Name:
Last Name:ALEXANDRE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 W 42ND ST APT S26G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-2036
Mailing Address - Country:US
Mailing Address - Phone:646-730-9175
Mailing Address - Fax:646-730-9175
Practice Address - Street 1:620 W 42ND ST APT S26G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-2036
Practice Address - Country:US
Practice Address - Phone:646-730-9175
Practice Address - Fax:646-730-9175
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management