Individual
DR. ALEXANDER MAUSKOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 E 76TH ST, 2ND FLOOR, NEW YORK, NY 10021-2700
(212) 794-3550
(212) 794-0591
Mailing address
132 ATLANTIC AVE, BROOKLYN, NY 11201-5502
(718) 935-9666
(718) 935-9667
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
154116
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154116
HIP
NY
01
—
40F631
BCBS
NY
01
—
6944712
CIGNA
NY
01
—
98159
AETNA
NY
Enumeration date
04/19/2007
Last updated
07/08/2007
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