Individual
ALEXEY AMCHENTSEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
61 EMERALD PL, ROCK HILL, NY 12775-6049
(845) 794-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
238588
NY
207RP1001X
Pulmonary Disease Physician
Primary
238588
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03108367
—
NY
Enumeration date
08/19/2008
Last updated
07/31/2020
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