Individual
DR. ALEXANDER LOZOVATSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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