MEDICARE: ALEXANDER NATHANSON M.D., PLLC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1295699478
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXANDER NATHANSON M.D., PLLC

Provider Business Mailing Address
First Line	:	3101 OCEAN PARKWAY, SUITE 1A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3101 OCEAN PARKWAY, SUITE 1A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235
Country	:	US
Telephone Number	:	347-524-2889
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALEXANDER NATHANSON
Credential	:	MD
Telephone Number	:	347-524-2889

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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