Individual
ALEXANDRA SERGEYEVNA VLASSOVA-KUDREVATYKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
566 7TH AVE FL 4, NEW YORK, NY 10018-1802
(212) 564-7819
Mailing address
566 7TH AVE FL 4, NEW YORK, NY 10018-1802
(212) 564-7819
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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