Individual
ALEXANDRA K ANIBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4141
Mailing address
1056 WILLOUGHBY AVE APT 3F, BROOKLYN, NY 11221-2711
(702) 545-7213
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
033703
NY
363AM0700X
Medical Physician Assistant
033703
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/19/2024
Last updated
06/20/2025
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