Individual
ALEX MANOLOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
35 SEACOAST TER APT 3K, BROOKLYN, NY 11235-6021
(917) 201-1875
Mailing address
35 SEACOAST TER APT 3K, BROOKLYN, NY 11235-6021
(917) 201-1875
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
691599
NY
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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