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1790825222
ALEXANDER IVANOV
BROOKLYN, NY
NPI
1790825222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 205206)
Enumeration Date
2007-02-07
Last Update Date
2022-07-21
Business Address
-- ALEXANDER IVANOV MD
115 BRIGHTWATER CT
BROOKLYN, NY 11235-7652
Phone number: 718-975-7690
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Mailing Address
-- ALEXANDER IVANOV MD
178 WATER ST
PERTH AMBOY, NJ 08861-4703
Phone number: 718-975-7690
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