Individual
EMILY AXELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2800 MARCUS AVE STE 200, NEW HYDE PARK, NY 11042-1008
(516) 622-6150
Mailing address
205 STEVEN PL APT 1B, WOODMERE, NY 11598-2503
(516) 668-7672
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
031673
NY
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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