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Individual

ALEXANDER YEVTUKH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4433 VESTAL PKWY E, VESTAL, NY 13850-3556
(607) 771-2220
Mailing address
33 LEWIS RD, FL 2, BINGHAMTON, NY 13905
(607) 770-0025

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
05737
KY
207X00000X
Orthopaedic Surgery Physician
Primary
336633
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/28/2019
Last updated
08/19/2025
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