Provider Demographics
NPI:1699478982
Name:STEC, AVERY ALEXANDRA
Entity type:Individual
Prefix:
First Name:AVERY
Middle Name:ALEXANDRA
Last Name:STEC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AVERY
Other - Middle Name:ALEXANDRA
Other - Last Name:MUSHINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:ALBANY MEDICAL CENTER, DEPT. OF FAMILY MEDICINE
Mailing Address - Street 2:MAIL CODE: 21, 391 MYRTLE AVENUE
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208
Mailing Address - Country:US
Mailing Address - Phone:518-264-2866
Mailing Address - Fax:
Practice Address - Street 1:ALBANY MEDICAL CENTER, DEPT. OF FAMILY MEDICINE
Practice Address - Street 2:MAIL CODE: 21, 391 MYRTLE AVENUE
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208
Practice Address - Country:US
Practice Address - Phone:518-264-2866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program