Individual
ALEXANDRA TAYLOR MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
661 KING AVENUE, BRONX, NY 10464
(917) 583-6425
Mailing address
661 KING AVE, BRONX, NY 10464-1114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020945
NY
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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