# DR. ALEXANDER EUGENE ISTOMIN MD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235185778
- **Gender:** Man
- **Credential:** MD, MS, MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 242862 | ZZ | Yes |
| 363L00000X | Nurse Practitioner | ARNP 9238727 | FL | — |
| 363LA2200X | Adult Health Nurse Practitioner | F304254 | NY | — |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 07/06/2017