Chervinsky, Alexander B
Chervinsky, Alexander B is an sole proprietor health care provider with primary practice located at 8714 5Th Ave , Brooklyn NY 11209-5204. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Chervinsky, Alexander B can be contacted via phone (718) 630-8600.Contact Information
Primary practice address
8714 5Th Ave
Brooklyn NY 11209-5204
Phone: (718) 630-8600
Fax: (718) 630-8615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 2772 | Maryland |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 012825 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2772 | Maryland |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 012825 | New York |
Profile Details
| NPI number | 1013971704 |
|---|---|
| LBN Legal business name | Chervinsky, Alexander B |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Mar 9th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013971704 | NPPES |
| New York | MEDICAID | 01727100 |
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