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NPI Code Detail

MEDICARE: NINA ALEXANDROVA MD

MEDICARE: NINA ALEXANDROVA MD
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
1208M00000XHospitalist Physician249777NY
2207R00000XInternal Medicine Physician249777NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962466250
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA ALEXANDROVA MD
Provider Business Mailing Address
First Line : 5410 MARYLAND WAY
Second Line : SUITE 300
City : BRENTWOOD
State : TN
Zip : 37027-5064
Country : US
Telephone Number : 615-377-5667
Fax Number : 888-241-1404
Provider Business Practice Location Address
First Line : 101 HOSPITAL RD
Second Line :
City : PATCHOGUE
State : NY
Zip : 11772-4870
Country : US
Telephone Number : 631-687-4131
Fax Number : 631-654-7376
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 06/08/2026

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Directions to “ NINA ALEXANDROVA MD” Practice Location

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