Individual
ALEKSANDR SHESTAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 GRAVESEND NECK RD, UNIT # LC, BROOKLYN, NY 11229-4256
(718) 332-8634
(718) 332-8637
Mailing address
1200 GRAVESEND NECK RD, UNIT # LC, BROOKLYN, NY 11229-4256
(718) 332-8634
(718) 332-8637
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
233581
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02665685
—
NY
Enumeration date
05/16/2006
Last updated
07/08/2007
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