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DR. ALEXANDER LOZOVATSKIY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
175 DENISON PARKWAY EAST, OPERATING ROOM, CORNING, NY 14830
(607) 937-7278
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
215326
NY
207L00000X
Anesthesiology Physician
215326
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02059098
NY
05
1015730390001
PA
01
CC8362
RR NY MEDICARE GROUP
NY
Enumeration date
06/01/2005
Last updated
06/24/2011
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