Provider Demographics
NPI:1194342667
Name:FITTS, ALEXANDRA J (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:J
Last Name:FITTS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9 SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-6241
Mailing Address - Country:US
Mailing Address - Phone:516-244-1863
Mailing Address - Fax:
Practice Address - Street 1:9 SHERMAN ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-6241
Practice Address - Country:US
Practice Address - Phone:516-244-1863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-01
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant