Individual
MR. ALEX PUSHKANZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LNHA
Contact information
Practice address
2865 BRIGHTON 3RD ST, BROOKLYN, NY 11235-6762
(718) 891-4400
(718) 484-1235
Mailing address
2865 BRIGHTON 3RD ST, BROOKLYN, NY 11235-6762
(718) 891-4400
(718) 484-1235
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
05875
NY
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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