Individual
DR. ALEXANDER GIMPELEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
16 E 40TH ST, SUITE 401, NEW YORK, NY 10016-0113
(212) 684-4325
Mailing address
16 E 40TH ST, SUITE 401, NEW YORK, NY 10016-0113
(212) 684-4325
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
243377
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243377
LICENSE
NY
Enumeration date
09/20/2007
Last updated
09/20/2007
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