Individual
MYKOLA ALYSKEWYCZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 MEDICAL PLZ, SUITE 101, GLEN COVE, NY 11542-2193
(516) 676-2270
(516) 676-5498
Mailing address
10 MEDICAL PLZ, SUITE 101, GLEN COVE, NY 11542-2193
(516) 676-2270
(516) 676-5498
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
197665
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01524730
—
NY
Enumeration date
03/28/2006
Last updated
04/19/2013
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