Individual
ALEXANDER YEGOROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
895 HYLAN BLVD, STATEN ISLAND, NY 10305-2020
(718) 701-4545
(718) 816-5297
Mailing address
137 WALCOTT AVENUE, STATEN ISLAND, NY 10314
(718) 701-4545
(718) 816-5297
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024697
NY
Other
Enumeration date
05/14/2008
Last updated
06/02/2015
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