Individual
ALEXANDRA S CUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 AVENUE P, BROOKLYN, NY 11204-6362
(718) 815-1000
(718) 815-8122
Mailing address
302 MANOR RD, STATEN ISLAND, NY 10314-2408
(718) 815-1000
(718) 815-8122
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
22549
WV
207L00000X
Anesthesiology Physician
Primary
235077
NY
207L00000X
Anesthesiology Physician
235077-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001888866
MSBCBC
WV
01
—
001907643
MSBCBS GROUP
WV
01
—
1070936
BRICKSTREET
WV
01
—
20554238700
BRICKSTREET GROUP
WV
05
—
3810006746
—
WV
05
—
3810007131
—
WV
01
—
DF0767
RR MEDICARE
WV
01
—
P00377019
RR MEDICARE
WV
Enumeration date
08/31/2005
Last updated
01/23/2013
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