Individual
ALEXANDRA BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
135 PARK DR N, STATEN ISLAND, NY 10314-5702
(718) 761-6690
Mailing address
135 PARK DR N, STATEN ISLAND, NY 10314-5702
(718) 761-6690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
017859
NY
Other
Enumeration date
08/12/2014
Last updated
02/26/2021
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