Individual
ALEXA ISABELLA VENUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6000
Mailing address
8854 BAY 16TH ST, BROOKLYN, NY 11214-5902
(347) 327-8514
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
031203
NY
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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