Individual
ALEXIS BERNADETTE ISASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
820 2ND AVE RM 3A, NEW YORK, NY 10017-4534
(212) 616-3376
Mailing address
114 4TH AVE, BELMAR, NJ 07719-2016
(732) 610-0297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023754
NY
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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