MEDICARE: ALEXA VALENTINO

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
1	363A00000X	Physician Assistant	035366	NY

General Provider Information

NPI Number	:	1902767056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXA VALENTINO

Provider Business Mailing Address
First Line	:	182 E 95TH ST APT 23J
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-2583
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1468 MADISON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-6508
Country	:	US
Telephone Number	:	347-558-3911
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	03/16/2026

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Directions to “ ALEXA VALENTINO ” Practice Location

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