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NPI Code Detail

MEDICARE: MS. ALEXANDRA SANFILIPPO PA-C

MEDICARE: MS. ALEXANDRA SANFILIPPO PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant25MP00838300NJ
2363A00000XPhysician AssistantPA20238TX
3363AM0700XMedical Physician AssistantPA20238TX
4363A00000XPhysician Assistant024011NY

General Provider Information

NPI Number : 1750931499
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALEXANDRA SANFILIPPO PA-C
Provider Business Mailing Address
First Line : 784 POOLE AVE
Second Line :
City : HAZLET
State : NJ
Zip : 07730-1938
Country : US
Telephone Number : 732-284-7678
Fax Number :
Provider Business Practice Location Address
First Line : 6720 BERTNER AVE
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2604
Country : US
Telephone Number : 713-798-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2019
Last Update Date : 06/15/2026

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