Individual
ALEXA ERIKA CANALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 932-4000
Mailing address
7915 68TH AVE, MIDDLE VILLAGE, NY 11379-2912
(917) 860-7814
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021315
NY
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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