Individual
MS. ALEXA VETERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
56 WEAVER ST, STATEN ISLAND, NY 10312-5406
(917) 796-9870
Mailing address
56 WEAVER ST, STATEN ISLAND, NY 10312-5406
(917) 796-9870
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
017955
NY
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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