Individual
MR. ALEKSANDR A PONOMAREV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
773 9TH AVE, NEW YORK, NY 10019-6336
(212) 586-1550
Mailing address
773 9TH AVE, NEW YORK, NY 10019-6336
(212) 586-1550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08734700
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
245111
NY
Other
Enumeration date
04/11/2008
Last updated
11/04/2016
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