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Individual

MR. DALE ALEXANDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
825 BROADWAY, BROOKLYN, NY 11206-7306
(718) 302-9494
Mailing address
825 BROADWAY, BROOKLYN, NY 11206-7306
(718) 302-9494

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
229782
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02604933
NY
Enumeration date
11/29/2006
Last updated
07/08/2007
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