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Individual

ALEKSANDR TUTELMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
(718) 421-7444
Mailing address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
662895
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2997157
NY
Enumeration date
10/23/2018
Last updated
10/23/2018
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