ALEXIS NICHEPORUCK

STATEN ISLAND, NY
NPI1336760784
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-27
Last Update Date2020-04-27
Business Address
Dr. ALEXIS NICHEPORUCK MD
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-8313
Mailing Address
Dr. ALEXIS NICHEPORUCK MD
66 RANDOLPH PL
WEST ORANGE, NJ 07052-4853
Phone number: 973-900-1280
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