Individual
ALEXANDRA GRUZINOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(833) 462-6436
Mailing address
100 BLEECKER ST APT 6E, NEW YORK, NY 10012-2201
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
034427
NY
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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