MEDICARE: ALEXANDRA LIGGATT M.D.

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	208D00000X	General Practice Physician	25MA09378500	NJ
2	207P00000X	Emergency Medicine Physician	TRN14932	FL

General Provider Information

NPI Number	:	1437477338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA LIGGATT M.D.

Provider Business Mailing Address
First Line	:	305 2ND AVE APT 324
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-2743
Country	:	US
Telephone Number	:	816-536-4050
Fax Number	:

Provider Business Practice Location Address
First Line	:	28 VALLEY RD # 148
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-2709
Country	:	US
Telephone Number	:	973-559-4600
Fax Number	:	855-998-4358

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

Provider Enumeration Date	:	05/17/2010
Last Update Date	:	06/24/2025

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