Individual
DR. ALEXEI KARTACHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3375 PARK AVE, SUITE 3003-1, WANTAGH, NY 11793-3733
(516) 469-0638
(516) 679-0486
Mailing address
2772 LEE PL, BELLMORE, NY 11710-5000
(516) 469-0638
(516) 679-0486
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
223791
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02647872
—
NY
Enumeration date
04/25/2006
Last updated
12/16/2010
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