Individual
ALEXANDRA TARASOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
833 UNION ST, SCHENECTADY, NY 12308-3103
(516) 582-9673
Mailing address
1260 MCCLELLAN ST, SCHENECTADY, NY 12309-5609
(518) 618-7813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063693
NY
Other
Enumeration date
06/07/2022
Last updated
02/26/2024
About Stedi
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