Provider Demographics
NPI:1881337343
Name:ALEXIS, CARINA (DPM)
Entity type:Individual
Prefix:
First Name:CARINA
Middle Name:
Last Name:ALEXIS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 BLOOMING GROVE TPKE
Mailing Address - Street 2:
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-7846
Mailing Address - Country:US
Mailing Address - Phone:845-562-7285
Mailing Address - Fax:845-562-5779
Practice Address - Street 1:532 BLOOMING GROVE TPKE
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-7846
Practice Address - Country:US
Practice Address - Phone:845-562-7285
Practice Address - Fax:845-562-5779
Is Sole Proprietor?:No
Enumeration Date:2022-04-13
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007485213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery