Organization
COMPOS MENTIS MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX MIKHELSON M.D (PRESIDENT)
(718) 795-8498
Entity
Organization
Contact information
Practice address
1430 CLOVE RD, STATEN ISLAND, NY 10301-4300
(718) 795-8498
(718) 876-7013
Mailing address
211 CORBIN PL, BROOKLYN, NY 11235-4901
(718) 795-8498
(718) 976-7013
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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