Individual
MS. ALEXA PAIGE RUFFINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5105 BROADWAY, NEW YORK, NY 10034
(212) 932-4000
Mailing address
18 NEVIN TER, MASSAPEQUA PARK, NY 11762-3518
(516) 732-0454
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1146548
NCCPA
—
Enumeration date
09/19/2018
Last updated
09/19/2018
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