Individual
DR. ALEX SIYUFY
Active
Individual
DR. ALEX SIYUFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203959
VA
2255A2300X
Athletic Trainer
0126000740
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010337909
—
VA
05
—
010337917
—
VA
05
—
010338239
—
VA
05
—
010339201
—
VA
05
—
010339219
—
VA
05
—
010339227
—
VA
Enumeration date
10/01/2005
Last updated
03/10/2011
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