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Alexander Pruden
NPI 1598458671 · on the registry since 2023
Practice
- Address
- 100 Highlands Blvd
Ste 101
Port Jefferson, NY 11777 - Phone
- (631) 331-8200
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York