Alexandra Domaradsky
Alexandra Domaradsky is a Physician Assistant in New York, New York. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
630 W 168th StNew York, NY 10032-3725
Phone: (212) 305-2500
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1891408324 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 29, 2022 |
| Last updated in NPPES | December 29, 2022 |
| Certification date | December 29, 2022 |
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