Provider Demographics
NPI:1538510276
Name:ZWEIG, ALEXANDRA
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:ZWEIG
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 1:120 E 56TH ST
Mailing Address - Street 2:RM 430
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-3679
Mailing Address - Country:US
Mailing Address - Phone:212-774-1971
Mailing Address - Fax:646-350-2833
Practice Address - Street 1:120 E 56TH ST
Practice Address - Street 2:RM 430
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-3679
Practice Address - Country:US
Practice Address - Phone:212-774-1971
Practice Address - Fax:646-350-2833
Is Sole Proprietor?:No
Enumeration Date:2016-06-23
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002653231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist