Provider Demographics
NPI:1902487598
Name:ALEXANDER-CORMIER, LEAH FRANCIS
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:FRANCIS
Last Name:ALEXANDER-CORMIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SPRING HILL LN APT 102
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-7062
Mailing Address - Country:US
Mailing Address - Phone:845-745-9868
Mailing Address - Fax:
Practice Address - Street 1:39 N PLANK RD
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-2118
Practice Address - Country:US
Practice Address - Phone:845-565-0140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY067685183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist