Individual
ANDREW ALEXIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 E 80TH ST FL 2, NEW YORK, NY 10075-0531
(646) 962-3376
Mailing address
211 E 80TH ST FL 2, NEW YORK, NY 10075-0531
(646) 962-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
002025
NY
207N00000X
Dermatology Physician
Primary
242192
NY
207NS0135X
Procedural Dermatology Physician
242192
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02587828
—
NY
Enumeration date
10/31/2005
Last updated
04/14/2022
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