Individual
DR. ALEX TIEVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
25 W 45TH ST, SUITE 402, NEW YORK, NY 10036-4902
(212) 704-4310
Mailing address
13-59 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5809
(718) 666-7119
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00321200
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
N006585
NY
Other
Enumeration date
06/23/2011
Last updated
01/30/2018
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