Individual provider · Type 1 NPI
Alexandra Lauren Blunk, PA-C
Medical Physician Assistant · Brooklyn, NY
NPI number
1104704295
Active
Practice location
800 Poly Pl
Brooklyn, NY 11209-7104
Mailing address
3691 N Carolina Ave
Edgewater, MD 21037-3333
Other practice locations
- 3691 N Carolina Ave, Edgewater, MD 21037-3333 · (443) 905-6038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1104704295
Alexandra Lauren Blunk, PA-C's National Provider Identifier is 1104704295, issued on Aug 26, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 26, 2025.