Individual
MR. ALEXHANDER SKOROKHODOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 AVENUE P, C3, BROOKLYN, NY 11204-6101
(718) 259-1175
Mailing address
80 AVENUE P, C3, BROOKLYN, NY 11204-6101
(718) 259-1175
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
504042111
NY
174400000X
Specialist
Primary
511232111
NY
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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