Provider Demographics
NPI:1104478049
Name:BOXER, ALEXANDRA MAIA
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:MAIA
Last Name:BOXER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W 93RD ST APT 2E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-7404
Mailing Address - Country:US
Mailing Address - Phone:203-249-3600
Mailing Address - Fax:
Practice Address - Street 1:200 W 93RD ST APT 2E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-7404
Practice Address - Country:US
Practice Address - Phone:203-249-3600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist