Demidenko, Alexander

Demidenko, Alexander is an individual health care provider with primary practice located at 2004 Seagirt Blvd Basement Floor, Far Rockaway NY 11691-2802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Demidenko, Alexander can be contacted via phone (718) 868-8668.

Contact Information

Primary practice address
2004 Seagirt Blvd Basement Floor Far Rockaway NY 11691-2802
Phone: (718) 868-8668
Fax: (718) 868-8611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 249146 New York

Profile Details

NPI number 1356542591
LBN Legal business name Demidenko, Alexander
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Mar 20th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356542591 NPPES
New York MEDICAID 03195782
New York Other 249146

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