Individual
ALEXANDER AKSANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MHS
Contact information
Practice address
380 HENRY ST, BROOKLYN, NY 11201-6048
(718) 855-7080
Mailing address
9322 3RD AVE STE 476, BROOKLYN, NY 11209-6802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044489-01
NY
Other
Enumeration date
11/17/2019
Last updated
11/25/2019
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