Individual provider · Type 1 NPI

Alexa Jade Sparacio, PA

Student in an Organized Health Care Education/Training Program · Valley Stream, NY

NPI number 1861183568 Active

Practice location

900 Franklin Ave
Valley Stream, NY 11580-2145

Call (516) 256-6000 Map

Mailing address

6 Tee View Ct
Manorville, NY 11949-2938

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1861183568

Alexa Jade Sparacio, PA's National Provider Identifier is 1861183568, issued on May 15, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Valley Stream, NY. The record was last updated on May 15, 2023.