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Contact Information

ALEXANDRA CHAMPAGNE
3622 CORLEAR AVE FL 2
BRONX, NY10463-2306
 Phone: 917-721-9310
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

163WS0200X
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for ALEXANDRA CHAMPAGNE · (Female)

NPI # 1598231607
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2018
Last updated 10/16/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 534656-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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