Individual
MR. ALEXANDER KHUDYSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.R.A
Contact information
Practice address
2815 COYLE ST APT 611, BROOKLYN, NY 11235-1742
(413) 636-2919
Mailing address
2815 COYLE ST APT 611, BROOKLYN, NY 11235-1742
(413) 636-2919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000179
NY
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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