Individual
DR. ALEXANDRA CERNASOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
66 BROADWAY, AMENIA, NY 12501
(845) 373-9022
Mailing address
20 FARGO CT, CORAM, NY 11727-1506
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052044
NY
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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