| Organization Name: | ALEXIS HUGELMEYER, D.O. |
| NPI Number: | 1528459658 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEXIS HUGELMEYER (PRESIDENT/OWNER) |
| Mailing Address: | 6144 Route 25a Building C, Suite 13, Box 10 Wading River |
| State: | NY US |
| Postal Code: | 117922018 |
| Phone Number: | 6319634760 |
| Fax Number: | 6319634761 |
| NPI Enumeration Date: | 02/11/2015 |
| NPI Last Update Date: | 06/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 249028 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |