Individual
IRINA ALEKSEYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
391 LINCOLN AVE, FORT LEE, NJ 07024-5045
(917) 650-8786
Mailing address
391 LINCOLN AVE, FORT LEE, NJ 07024-5045
(917) 650-8786
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA07524800
NJ
207L00000X
Anesthesiology Physician
Primary
218480
NY
Other
Enumeration date
06/13/2005
Last updated
07/29/2013
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