| Doctor Name: | ALEXANDRA ANN ZIMMERMANN |
| NPI Number: | 1043389166 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F334964 |
| Business Practice Address: | 5008 Brittonfield Pkwy Suite 700 East Syracuse, NY - 130579248 |
| Business Phone Number: | 3154727504 |
| Business Fax Number: | 3154798639 |
| Mailing Address: | 5008 Brittonfield Pkwy, Suite 700 EAST SYRACUSE |
| State: | NY |
| Postal Code: | 130579248 |
| Phone Number: | 3154727504 |
| Fax Number: | 3154798639 |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 05/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F334964 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |