Provider Demographics
NPI:1477853372
Name:LANDRY, ALEXIS EXARHOPOULOS (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:EXARHOPOULOS
Last Name:LANDRY
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:44 BINNEY ST
Mailing Address - Street 2:HEMATOLOGY ONCOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:HEMATOLOGY ONCOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6013
Practice Address - Country:US
Practice Address - Phone:617-632-3475
Practice Address - Fax:617-632-4301
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
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Provider Licenses
StateLicense IDTaxonomies
MAPA4074363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant