- Practice location
- 630 W 168TH St, New York, NY 10032-3725
- Phone
- 212-305-2500
- Fax
- —
- Last updated
- December 29, 2022
Alexandra Domaradsky is a Physician Assistant based in New York, NY. Alexandra Domaradsky practices in New York, NY. The NPI Number for Alexandra Domaradsky is 1891408324. The current practice location address for Alexandra Domaradsky is 630 W 168TH St, New York, NY 10032-3725 and can be reached out via phone at 212-305-2500.
Provider Profile Details
- NPI Number
- 1891408324
- Provider Name
- Alexandra Domaradsky
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 630 W 168TH St, New York, NY 10032-3725
- Phone Number
- 212-305-2500
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 29, 2022
- Last Update Date
- December 29, 2022
- Certification Date
- December 29, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 630 W 168TH St
New York, NY 10032-3725 - City
- New York
- State
- New York
- Zip
- 10032-3725
- Phone Number
- 212-305-2500
Provider Business Mailing Address Details
- Address
- 90 Crescent Ave
Waldwick, NJ 07463-1345 - City
- Waldwick
- State
- NJ
- Zip
- 07463-1345
- Phone Number
- 201-995-7021
License Information
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Alexandra Domaradsky?
The NPI number of Alexandra Domaradsky is 1891408324. It was assigned on December 29, 2022 and is currently active in the NPPES registry.
What is the specialty of Alexandra Domaradsky?
Alexandra Domaradsky is registered under the primary taxonomy Physician Assistant (code 363A00000X).
Where does Alexandra Domaradsky practice?
The practice location is 630 W 168TH St, New York, NY 10032-3725. The office can be reached at 212-305-2500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891408324 directly on the NPPES registry website.