Individual
MR. ALEXANDER AVDASHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 EAST 77TH STREET, NEW YORK, NY 10021-1883
(917) 541-5378
Mailing address
2006 BENSON AVE APT 3G, BROOKLYN, NY 11214-4826
(917) 541-5378
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14359
NC
363A00000X
Physician Assistant
012117
NY
Other
Enumeration date
10/19/2007
Last updated
02/23/2026
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