Alexander Gorbatsevich M.D.

NPI 1538161005 - Internal Medicine - 207R00000X

NPI Details
NPI 1538161005
Gender Male
Enumeration Date 08/12/2005
Last Updated 08/29/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
75 N COUNTRY RD
PORT JEFFERSON NY, 11777-2119, US
Phone (631) 473-1320
Fax (631) 473-1320
Business Location
625 BELLE TERRE RD
SUITE 100
PORT JEFFERSON NY, 11777-2316, US
Phone (631) 473-1320
Fax (631) 473-1320
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 240964
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According to our database, Alexander Gorbatsevich M.D. NPI is 1538161005, taxonomy code is 207R00000X and license number is 240964, license state is located at New York. Alexander Gorbatsevich M.D. physically located at 75 N Country Rd, Port Jefferson NY, 11777-2119. NPI Number Alexander Gorbatsevich M.D. has the Individual type.

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1538161005 NPI number is provided on an as is basis without warranty of any kind. 1538161005 is maintained by the National Plan & Provider Enumeration System. The contents of Alexander Gorbatsevich M.D. are for informational purposes only.