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Individual

ALEXA HUMPF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
23-89 BELL BLVD, BAYSIDE, NY 11360
(718) 631-0072
Mailing address
1406 CROSS BAY BLVD, BROAD CHANNEL, NY 11693-1220
(718) 216-7374

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
026140
NY
363A00000X
Physician Assistant
Primary
026140
NY
363AM0700X
Medical Physician Assistant

Other

Enumeration date
12/23/2020
Last updated
11/18/2025
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