MS. ALEXANDRA DEMEGLIO


Address: 1357 Ovington Ave, Brooklyn, NY 11219-6111
Phone: 3474363421

MS. ALEXANDRA DEMEGLIO (NPI# 1417386640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417386640
Entity Type Individual
Full Name MS. ALEXANDRA DEMEGLIO
Credential RPA-C
Practice Address 1357 Ovington Ave
Brooklyn
NY 11219-6111
Practice Telephone 3474363421
Mailing Telephone 3474363421
Enumeration Date 2013-11-07
Last Update Date 2013-11-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
015799-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1357 OVINGTON AVE
City BROOKLYN
State NY
Zip Code 11219-6111

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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1831736602 Ll Physician Assistant PC Physician Assistant 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 2019-11-29
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1497206981 Viktoriya Sionov Physician Assistant 6522 Avenue M, Brooklyn, NY 11234-5600 2016-10-19
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1659706570 Lyudmila Trubetsky Physician Assistant 2942 W 5th St, Apt. 7t, Brooklyn, NY 11224-3834 2013-09-10
1831531094 Julio Alberto Chau Physician Assistant 173 Clinton St Apt B, Brooklyn, NY 11201-5640 2013-07-29
1164799508 James Earl La Voy Physician Assistant 257 Gold St, # 6 J, Brooklyn, NY 11201-2034 2011-11-30
1629363486 Michael Joseph Levine Physician Assistant 1030 Park Pl Apt B10, Brooklyn, NY 11213-1967 2011-06-09
1134411630 Suzanne Cassandra Forde Physician Assistant 1850 Brooklyn Avenue, Apt. 4h, Brooklyn, NY 11210-4248 2011-05-03
1316279995 David R Sanon Physician Assistant 150 55 Th Street, Lutheran Medical Center, Brooklyn, NY 11220-2574 2010-02-05
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Competitor

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City BROOKLYN
Zip Code 11219

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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