Alex Mikhelson, MD
in Staten Island, NY. Individual provider (NPI-1).
NPI number1982802906
StatusActive
Last updated in NPPESJul 11, 2007
Details
- NPI
- 1982802906
- Entity type
- Individual (NPI-1)
- Name
- Alex Mikhelson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2007
- Last updated
- Jul 11, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0805X | 240312 | NY | Yes |
Practice location
690 Castleton AveStaten Island, NY 10310-1818
Phone 718-876-4040 · Fax 718-876-7013
Mailing address
75 Vanderbilt AveStaten Island, NY 10304-2604
Phone 718-818-6300 · Fax 718-818-6018
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