Individual
DR. ALEXANDER EUGENE ISTOMIN MD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS, MS
Contact information
Practice address
8708 JUSTICE AVE, SUITE 2E, ELMHURST, NY 11373-4575
(718) 554-7434
(718) 554-1666
Mailing address
PO BOX 95, OLD WESTBURY, NY 11568-0095
(718) 554-7434
(718) 554-1666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
242862
ZZ
363L00000X
Nurse Practitioner
ARNP 9238727
FL
363LA2200X
Adult Health Nurse Practitioner
F304254
NY
Other
Enumeration date
05/26/2006
Last updated
07/06/2017
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