Individual
ALEXANDER N SHLIVKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2250 86TH ST, BROOKLYN, NY 11214-4139
(718) 714-1000
(718) 714-1036
Mailing address
501 SURF AVE APT 22R, BROOKLYN, NY 11224-3547
(646) 204-9821
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009186
NY
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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