| NPI | 1659740645 |
|---|---|
| Former Name | ALEXANDRA N BEZSONOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 019086) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 019086) |
| Enumeration Date | 2015-09-19 |
| Last Update Date | 2024-09-24 |