Provider Demographics
NPI:1386105880
Name:LABIAK, ALEXANDRA KINGA (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:KINGA
Last Name:LABIAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E 82ND ST APT PHF
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-2746
Mailing Address - Country:US
Mailing Address - Phone:847-648-0394
Mailing Address - Fax:
Practice Address - Street 1:EINSTEIN-MONTEFIORE DIVISION OF DERMATOLOGY
Practice Address - Street 2:3411 WAYNE AVENUE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-1046
Practice Address - Country:US
Practice Address - Phone:201-637-9412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2023-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program