Individual
ALEXANDER MATSIKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
16103 29TH AVE, FLUSHING, NY 11358-1049
(718) 767-2400
Mailing address
178 NEW HYDE PARK RD, FRANKLIN SQUARE, NY 11010-3012
(516) 775-4294
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051959
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00703324
—
NY
Enumeration date
11/30/2007
Last updated
10/13/2020
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