Provider Demographics
NPI:1588962070
Name:KROKOS, ALEXANDRA (RPA-C)
Entity type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:
Last Name:KROKOS
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:MRS
Other - First Name:ALEXANDRA
Other - Middle Name:
Other - Last Name:KOLLAROS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPA-C
Mailing Address - Street 1:2601 OCEAN PKWY
Mailing Address - Street 2:SURGERY OFFICE / UROLOGY DEPARTMENT
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-7745
Mailing Address - Country:US
Mailing Address - Phone:718-616-4438
Mailing Address - Fax:718-616-3160
Practice Address - Street 1:2601 OCEAN PKWY
Practice Address - Street 2:SURGERY OFFICE / UROLOGY DEPARTMENT
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7745
Practice Address - Country:US
Practice Address - Phone:718-616-4438
Practice Address - Fax:718-616-3160
Is Sole Proprietor?:No
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009739-1363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical