- Practice location
- 115 Brightwater CT, Brooklyn, NY 11235-7652
- Phone
- 718-975-7690
- Fax
- 718-975-7690
- Last updated
- July 21, 2022
Alexander Ivanov is a Psychiatry & Neurology, Psychiatry based in Brooklyn, NY. Alexander Ivanov practices in Brooklyn, NY and has the professional credentials of MD. The NPI Number for Alexander Ivanov is 1790825222 and holds a License No. 205206 (NY). The current practice location address for Alexander Ivanov is 115 Brightwater CT, Brooklyn, NY 11235-7652 and can be reached out via phone at 718-975-7690 and via fax at 718-975-7690.
Provider Profile Details
- NPI Number
- 1790825222
- Provider Name
- Alexander Ivanov
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 115 Brightwater CT, Brooklyn, NY 11235-7652
- Phone Number
- 718-975-7690
- Fax Number
- 718-975-7690
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 7, 2007
- Last Update Date
- July 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 115 Brightwater CT
Brooklyn, NY 11235-7652 - City
- Brooklyn
- State
- New York
- Zip
- 11235-7652
- Phone Number
- 718-975-7690
- Fax Number
- 718-975-7690
Provider Business Mailing Address Details
- Address
- 178 Water St
Perth Amboy, NJ 08861-4703 - City
- Perth Amboy
- State
- NJ
- Zip
- 08861-4703
- Phone Number
- 718-975-7690
- Fax Number
- 718-975-7692
License Information
- License Number
- 205206
- License State
- NY
- Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Alexander Ivanov, MD?
The NPI number of Alexander Ivanov, MD is 1790825222. It was assigned on February 7, 2007 and is currently active in the NPPES registry.
What is the specialty of Alexander Ivanov, MD?
Alexander Ivanov, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NY under license number 205206.
Where does Alexander Ivanov, MD practice?
The practice location is 115 Brightwater CT, Brooklyn, NY 11235-7652. The office can be reached at 718-975-7690 (phone) or 718-975-7690 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790825222 directly on the NPPES registry website.