Individual provider · Type 1 NPI
Alexa Renee Haemer, PA
Medical Physician Assistant · Lake Ronkonkoma, NY
NPI number
1659915486
Active
Practice location
500 Portion Rd Ste 11
Lake Ronkonkoma, NY 11779-4587
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 024379 (NY) |
Medical Physician Assistant: Definition to come...
About NPI 1659915486
Alexa Renee Haemer, PA's National Provider Identifier is 1659915486, issued on Nov 5, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lake Ronkonkoma, NY. The record was last updated on Nov 5, 2019.