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Individual

ALEXANDER KOLESSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
44 MONROE ST, # A24, NEW YORK, NY 10002-7701
(732) 425-3564
Mailing address
465 HILLCREST RD, # A24, RIDGEWOOD, NJ 07450-1520
(732) 425-3564

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
254294-1
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MA08471100
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD434982
PA

Other

Enumeration date
06/11/2007
Last updated
06/09/2021
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