Individual
ALEKSEY YUDANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8684 20TH AVE APT 2D, BROOKLYN, NY 11214-3931
(646) 427-0543
Mailing address
8684 20TH AVE APT 2D, BROOKLYN, NY 11214-3931
(646) 427-0543
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
664353
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417295478
—
NY
Enumeration date
01/26/2013
Last updated
01/27/2013
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