Individual
DR. ALEXANDER B CHERVINSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8714 5TH AVE, BROOKLYN, NY 11209-5204
(718) 630-8600
(718) 630-8615
Mailing address
8714 5TH AVE, BROOKLYN, NY 11209-5204
(718) 630-8600
(718) 630-8615
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
012825
NY
103G00000X
Clinical Neuropsychologist
2772
MD
103TC0700X
Clinical Psychologist
012825
NY
103TC0700X
Clinical Psychologist
2772
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01727100
—
NY
Enumeration date
04/12/2006
Last updated
03/09/2021
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