| Alexis Simon LLC | |
|
2209 Merrick Rd Ste 202 Merrick NY 11566-4770 | |
| (631) 264-4521 | |
| Not Available |
| Full Name | Alexis Simon LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2209 Merrick Rd Ste 202, Merrick, New York |
| Authorized Official Name and Position | Alexis Fordyce (NP) |
| Authorized Official Contact | 6312644521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis Simon LLC 2209 Merrick Rd Ste 202 Merrick NY 11566-4770 Ph: (631) 264-4521 | Alexis Simon LLC 2209 Merrick Rd Ste 202 Merrick NY 11566-4770 Ph: (631) 264-4521 |
| NPI Number | 1861311037 |
|---|---|
| Provider Enumeration Date | 07/13/2026 |
| Last Update Date | 07/13/2026 |
| Certification Date | 07/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861311037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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