Provider Demographics
NPI:1861895120
Name:ZELEZNIK, ALEXANDRA M (PA-C)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:M
Last Name:ZELEZNIK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SASHA
Other - Middle Name:M
Other - Last Name:ZELEZNIK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4262 OLD WILLIAM PENN HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1954
Mailing Address - Country:US
Mailing Address - Phone:412-668-4444
Mailing Address - Fax:724-468-0039
Practice Address - Street 1:4262 OLD WILLIAM PENN HWY STE 200
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1954
Practice Address - Country:US
Practice Address - Phone:410-668-4444
Practice Address - Fax:724-468-0039
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-01
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA057258363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant