Individual
DHIWYA ALEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
61 DELAFIELD PL, STATEN ISLAND, NY 10310-1675
(347) 294-9165
Mailing address
61 DELAFIELD PL, STATEN ISLAND, NY 10310-1675
(347) 294-9165
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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