Individual
DR. ALEXANDER GONCHAROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
233 NOSTRAND AVE, BROOKLYN, NY 11205-4924
(718) 826-5900
(718) 826-5860
Mailing address
800 AXINN AVE, GARDEN CITY, NY 11530-2139
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
250481
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03100290
—
NY
Enumeration date
09/29/2008
Last updated
04/21/2015
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