Healthcare Provider Details

I. General information

NPI: 1871414862
Provider Name (Legal Business Name): ALEKSEY KRASOVSKIY INHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ALEX KRASOVSKY INHC

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12712 E CASPIAN PL
AURORA CO
80014-1975
US

IV. Provider business mailing address

12712 E CASPIAN PL
AURORA CO
80014-1975
US

V. Phone/Fax

Practice location:
  • Phone: 929-204-2845
  • Fax:
Mailing address:
  • Phone: 929-204-2845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License NumberPRO-014216
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: