Individual
ALEC PRUCHNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1261 5TH AVE, NEW YORK, NY 10029-3822
(212) 534-5400
Mailing address
450 W 33RD ST, PBS 12TH FLOOR, NEW YORK, NY 10001-2603
(212) 356-4474
(212) 356-4608
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
182266
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02229138
—
NY
Enumeration date
08/25/2006
Last updated
02/25/2019
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