Individual
MR. ALEXANDER GAVRONSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S, R.D.
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND UNIVERSITY HOSPITAL, STATEN ISLAND, NY 10305-3436
(718) 226-5413
Mailing address
545 NEPTUNE AVE APT 11G, BROOKLYN, NY 11224-4050
(646) 338-7126
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86053650
NY
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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