National Provider Identifier
Alexandra Logan, MD
Alexandra Logan, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 922-5067.
Profile Overview
- NPI
- 1205820008
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- September 07, 2005
- Last Updated
- November 12, 2018
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-5067
Specialties
- Internal Medicine Physician (207R00000X)
- Hospitalist Physician (208M00000X)
Full Record
- NPI
- 1205820008
- Entity Type
- Individual
- Last Name
- Logan
- First Name
- Alexandra
- Credential
- MD
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Mailing Phone
- (585) 922-5067
- Mailing Fax
- (585) 922-2908
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-5067
- Practice Fax
- (585) 922-2908
- Enumeration Date
- September 07, 2005
- Last Updated
- November 12, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Hospitalist Physician (208M00000X)
- Other Identifiers
- 03007063/NWK (NY), 31696100 (WI)