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1104537109
ALEXA KOVLAKAS
ASTORIA, NY
NPI
1104537109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 029303)
Enumeration Date
2022-12-09
Last Update Date
2022-12-09
Business Address
Ms. ALEXA KOVLAKAS PAC
2510 30TH AVE
ASTORIA, NY 11102-2418
Phone number: 718-932-1000
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Mailing Address
Ms. ALEXA KOVLAKAS PAC
1721 WOODBINE ST APT 3R
RIDGEWOOD, NY 11385-3600
Phone number: 203-455-4398
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