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Organization
PAVEL ALEXANDROV MEDICAL PC
Active
Organization
PAVEL ALEXANDROV MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAVEL ALEXANDROV (MD)
(718) 374-3178
Entity
Organization
Contact information
Practice address
3125 TIBBETT AVE, BRONX, NY 10463-3815
(718) 666-7397
(718) 374-3178
Mailing address
7507 172ND ST, FRESH MEADOWS, NY 11366-1422
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2225261
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2315502
—
NY
Enumeration date
10/24/2012
Last updated
10/24/2012
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