Provider Demographics
NPI:1902318223
Name:ENGELMAN, ALEXA (CPNP)
Entity Type:Individual
Prefix:MS
First Name:ALEXA
Middle Name:
Last Name:ENGELMAN
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 EAST 98TH STREET
Mailing Address - Street 2:10TH FLOOR BOX 1664
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6574
Mailing Address - Country:US
Mailing Address - Phone:212-241-6187
Mailing Address - Fax:212-426-1972
Practice Address - Street 1:5 EAST 98TH STREET
Practice Address - Street 2:10TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6574
Practice Address - Country:US
Practice Address - Phone:212-241-6187
Practice Address - Fax:212-426-1972
Is Sole Proprietor?:No
Enumeration Date:2017-10-26
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY382805363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics