Individual
MS. ALEXANDRA WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-5918
Mailing address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002963
NY
Other
Enumeration date
09/06/2008
Last updated
09/06/2008
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