Logan, Alexandra

Logan, Alexandra is an individual health care provider with primary practice located at 1425 Portland Ave , Rochester NY 14621-3001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Logan, Alexandra can be contacted via phone (585) 922-5067.

Contact Information

Primary practice address
1425 Portland Ave Rochester NY 14621-3001
Phone: (585) 922-5067
Fax: (585) 922-2908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 251865 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 251865 New York

Profile Details

NPI number 1205820008
LBN Legal business name Logan, Alexandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Nov 12th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205820008 NPPES
New York MEDICAID 03007063/NWK
New York MEDICAID 31696100

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