Provider Demographics
NPI:1093129918
Name:BIGNALL, ALEXANDRIA
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:
Last Name:BIGNALL
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 1:140 BENCHLEY PL
Mailing Address - Street 2:APT. 2H
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-3502
Mailing Address - Country:US
Mailing Address - Phone:646-641-9038
Mailing Address - Fax:
Practice Address - Street 1:140 BENCHLEY PL
Practice Address - Street 2:APT. 2H
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-3502
Practice Address - Country:US
Practice Address - Phone:646-641-9038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator