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Individual

ALEXANDR CHESLAWOVICH SAZON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6 WELLNESS WAY STE 111, LATHAM, NY 12110-2156
(518) 213-0227
(518) 782-3816
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
265432
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03467549
NY
Enumeration date
09/02/2010
Last updated
01/30/2024
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