Individual
ALISA GERTRUD REKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
99 PARK AVE FL 20, NEW YORK, NY 10016-1601
(332) 255-6024
Mailing address
1151 E 3900 S STE B256, SALT LAKE CITY, UT 84124-1216
(425) 577-7035
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
187888
NY
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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