Most Relevant Information
Provider Data
| NPI Number: | 1003524653 |
| Provider Name: | ALEXANDRIA LEIGH MOURGES PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 029251-01 |
Most Important Dates
| Enumeration Date: | 11/14/2022 |
| Last Updated: | 01/26/2023 |
Provider Practice Location
1425 PORTLAND AVE
ROCHESTER
NY
146213011
Practice Location Phone/Fax
| Phone: | 5859224000 |
| Fax: |
Provider Mailing Location
66 CICCOLELLA CT
SOUTHINGTON
CT
064891340
Provider Mailing Phone/Fax
| Phone: | 8609194553 |
| Fax: |