Individual
ALEXANDRA DOMARADSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-2500
Mailing address
90 CRESCENT AVE, WALDWICK, NJ 07463-1345
(201) 995-7021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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