Individual
ALEXANDRIA DSOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1410 BROADWAY, SUITE # 202, NEW YORK, NY 10018-1001
(212) 354-2225
(212) 354-2225
Mailing address
1410 BROADWAY RM 202, NEW YORK, NY 10018-9835
(212) 354-2225
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
042658-01
PA
Other
Enumeration date
01/17/2018
Last updated
08/24/2020
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