Individual
MR. ALEX ROBERT TABONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-6500
Mailing address
6591 BUTERA DR, AUBURN, NY 13021-9402
(315) 730-1801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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