Individual
ALEXANDER KLYASHTORNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(732) 738-3963
(732) 738-3965
Mailing address
1305 WALT WHITMAN RD STE 300, MELVILLE, NY 11747-4300
(585) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA06926200
NJ
Other
Enumeration date
06/05/2006
Last updated
10/04/2024
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