Individual
ALEXA ANASTASIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Mailing address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025819
NY
Other
Enumeration date
09/03/2020
Last updated
11/25/2022
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