Individual
ALEKSANDER FEOKTISTOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203
(508) 308-0354
Mailing address
451 CLARKSON AVE, BROOKLYN, NY 11203-2054
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
214849-1
NY
Other
Enumeration date
05/01/2006
Last updated
05/14/2018
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