Physician Compare National (NPI:1538388244)

HEALTHCARE PROVIDER: ANDRE E VOSKRESSENSKY D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1538388244
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254419963
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080422000322
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VOSKRESSENSKY
	Individual professional last name
Provider First Name	ANDRE
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9070 KIMBERLY BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 58
	Group Practice or individual's line 2 address
City	BOCA RATON
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	334342861
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5619290568
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y