Individual
DR. ALEKSANDR V VASENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4802 10TH AVE, MAIMONIDES MEDICAL CENTER DEPARTMENT OF DENTISTRY, BROOKLYN, NY 11219-2916
(718) 283-8322
Mailing address
8001 BAY PKWY, APARTMENT F5, BROOKLYN, NY 11214-1957
(718) 621-1646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052118
NY
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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