Individual
MR. ALEXANDER MINEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1619 3RD AVE APT 18A, NEW YORK, NY 10128-0063
(954) 789-9200
Mailing address
1619 3RD AVE APT 18A, NEW YORK, NY 10128-0063
(917) 227-9447
(770) 514-8511
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
029389
NY
225XP0200X
Pediatric Occupational Therapist
OT003641
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000965643E
—
GA
Enumeration date
09/20/2006
Last updated
12/13/2024
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