IndividualActive
Alexa Prevost
NPI 1811398449 · Surgical Physician Assistant · Bronx, NY
Provider details
- NPI number
- 1811398449
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 017970 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1400 Pelham Pkwy S
Bronx, NY 10461-1138
Phone: (203) 524-5906
Approximate (ZIP-level) locationGet directions
Mailing address
18225 Wexford Ter
Jamaica, NY 11432-3140
Registry dates
- Enumerated
- 2014-09-15
- Last updated
- 2014-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.