Individual
ALEXANDER Y PODVEZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 798-5223
(607) 798-6187
Mailing address
601 GATES RD, SUITE 3, VESTAL, NY 13850-2288
(607) 772-9462
(607) 772-1223
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
229266
NY
2085R0202X
Diagnostic Radiology Physician
Primary
229266
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014702920002
—
PA
Enumeration date
09/08/2005
Last updated
09/25/2008
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