Individual
ALEXANDRA NICOLE DISARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
645 MADISON AVE, NEW YORK, NY 10022-1010
(212) 618-5900
Mailing address
347 LAKEVIEW AVE, ROCKVILLE CENTRE, NY 11570-3015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/01/2026
Last updated
08/01/2026
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