Individual
ALEXANDER LILEIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 RADISSON PLZ, 9TH FLOOR, NEW ROCHELLE, NY 10801-5766
(914) 632-1100
Mailing address
1 RADISSON PLZ, 9TH FLOOR, NEW ROCHELLE, NY 10801-5766
(914) 632-1100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0172651
NY
225100000X
Physical Therapist
Primary
017265-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133586197
TAX IDENTIFICATION #
NY
01
—
133733650
NR TAX IDENTIFICATION #
NY
Enumeration date
10/06/2005
Last updated
05/15/2019
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