Individual
DR. ALEXANDER KHAVASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
438 9TH ST, BROOKLYN, NY 11215-4177
(718) 788-7007
(718) 788-7707
Mailing address
223 PICCADILLY DWNS, LYNBROOK, NY 11563-3145
(718) 373-6656
(718) 373-6656
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
010592
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010592-NY
1199
NY
05
—
02463376
—
NY
01
—
1049460
ASHN
NY
01
—
3422298
AETNA
NY
01
—
5808094
GHI
NY
01
—
660778
ACN
NY
01
—
P3304901
OXFORD
NY
01
—
X8U332
EMPIRE BCBS
NY
Enumeration date
08/03/2005
Last updated
01/22/2008
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