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NPI Code Detail

MEDICARE: ALEKSANDR DINKEVICH M.S. ED.

MEDICARE:   ALEKSANDR  DINKEVICH  M.S. ED.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist753841NY

General Provider Information

NPI Number : 1568726966
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEKSANDR DINKEVICH M.S. ED.
Provider Business Mailing Address
First Line : 2514 E 7TH ST APT 3H
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-6232
Country : US
Telephone Number : 917-972-1085
Fax Number : 718-615-1358
Provider Business Practice Location Address
First Line : 2514 E 7TH ST APT 3H
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-6232
Country : US
Telephone Number : 917-972-1085
Fax Number : 718-615-1358
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2012
Last Update Date : 06/29/2012

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Directions to “ ALEKSANDR DINKEVICH M.S. ED.” Practice Location

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