Provider Demographics
NPI:1437326972
Name:IUCHYK, ALEKSANDRA (RPAC)
Entity Type:Individual
Prefix:MRS
First Name:ALEKSANDRA
Middle Name:
Last Name:IUCHYK
Suffix:
Gender:F
Credentials:RPAC
Other - Prefix:
Other - First Name:ALEKSANDRA
Other - Middle Name:
Other - Last Name:FED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5645 MAIN STREET
Mailing Address - Street 2:NYHQ DEPT OF PEDIATRICS
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355
Mailing Address - Country:US
Mailing Address - Phone:718-670-1033
Mailing Address - Fax:718-460-0161
Practice Address - Street 1:5645 MAIN STREET 1
Practice Address - Street 2:NYHQ DEPT OF PEDIATRICS
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:718-670-1033
Practice Address - Fax:718-460-0161
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
0087911363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant