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Individual

DR. ALEX REYENTOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
530 1ST AVE, NEW YORK, NY 10016-6402
(646) 501-0119
Mailing address
530 1ST AVE, NEW YORK, NY 10016-6402

Taxonomy

Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
232432
NY
207RC0000X
Cardiovascular Disease Physician
232432
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02669996
NY
Enumeration date
12/06/2006
Last updated
03/23/2021
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