Individual provider · Type 1 NPI

Alexa Ray Prevost

Surgical Physician Assistant · Bronx, NY

NPI number 1811398449 Active

Practice location

1400 Pelham Pkwy S
Bronx, NY 10461-1138

Call (203) 524-5906 Map

Mailing address

18225 Wexford Ter, Apartment 314
Jamaica, NY 11432-3140

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X017970 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1811398449

Alexa Ray Prevost's National Provider Identifier is 1811398449, issued on Sep 15, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bronx, NY. The record was last updated on Sep 15, 2014.