Individual
MS. ALEXA RAY PREVOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(203) 524-5906
Mailing address
18225 WEXFORD TER, APARTMENT 314, JAMAICA, NY 11432-3140
(203) 524-5906
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
017970
NY
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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