Healthcare Provider Details

I. General information

NPI: 1174465157
Provider Name (Legal Business Name): ALEXANDRA FRATILA DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 FRIENDSHIP AVE
PITTSBURGH PA
15224-1793
US

IV. Provider business mailing address

8548 115TH ST
RICHMOND HILL NY
11418-1732
US

V. Phone/Fax

Practice location:
  • Phone: 412-578-5000
  • Fax:
Mailing address:
  • Phone: 718-541-6068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC007664
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: