Provider Demographics
NPI:1013807254
Name:GAMEZ, ALEXANDRA RENATE (MS, ATC, LAT)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:RENATE
Last Name:GAMEZ
Suffix:
Gender:F
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 JOHN ST
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3646
Mailing Address - Country:US
Mailing Address - Phone:845-459-7474
Mailing Address - Fax:
Practice Address - Street 1:4513 MANHATTAN COLLEGE PKWY
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-4004
Practice Address - Country:US
Practice Address - Phone:718-862-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer