Individual
ALEX KOCHANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10426 ROOSEVELT AVE, CORONA, NY 11368-2328
(718) 533-0991
(718) 424-5363
Mailing address
10426 ROOSEVELT AVE, CORONA, NY 11368-2328
(718) 533-0991
(718) 424-5363
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0567041UPD
NY
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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