1851668586 NPI number — MRS. ALEXANDRA ROSALYN KREIMER M.A. SLP

Table of content: MRS. ALEXANDRA ROSALYN KREIMER M.A. SLP (NPI 1851668586)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851668586 NPI number — MRS. ALEXANDRA ROSALYN KREIMER M.A. SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KREIMER
Provider First Name:
ALEXANDRA
Provider Middle Name:
ROSALYN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A. SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KREIMER
Provider Other First Name:
ALEXANDRA
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1851668586
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/23/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6565 WETHEROLE ST
Provider Second Line Business Mailing Address:
APT 4E
Provider Business Mailing Address City Name:
REGO PARK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11374-4764
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-316-2691
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6565 WETHEROLE ST
Provider Second Line Business Practice Location Address:
APT 4E
Provider Business Practice Location Address City Name:
REGO PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11374-4764
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-316-2691
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/23/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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