Individual
ANDREI LOGVINENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14-25 PLAZA ROAD, S-3-1, FAIR LAWN, NJ 07410-3546
(201) 797-2050
(201) 797-2051
Mailing address
PO BOX 37, FRANKLIN LAKES, NJ 07417-0037
(201) 797-2050
(201) 797-2051
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
210854
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA63969
NJ
Other
Enumeration date
05/31/2006
Last updated
11/14/2016
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