Mr Alexander Kotov, NP | |
160 W 26th St Fl 4, New York, NY 10001-6975 | |
(212) 924-2510 | |
(212) 812-3800 |
Full Name | Mr Alexander Kotov |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 160 W 26th St Fl 4, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194823435 | NPI | - | NPPES |
02177773 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F333427-1 (New York) | Primary |
Entity Name | Union Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871639989 PECOS PAC ID: 1951290204 Enrollment ID: O20040313000547 |
Entity Name | Advantagecare Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336578772 PECOS PAC ID: 2365735008 Enrollment ID: O20160719000446 |
Mailing Address | Practice Location Address |
---|---|
Mr Alexander Kotov, NP 9605 220th St, Queens Village, NY 11429-1347 Ph: (646) 201-8985 | Mr Alexander Kotov, NP 160 W 26th St Fl 4, New York, NY 10001-6975 Ph: (212) 924-2510 |
Mrs. Zana Correa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1275 York Ave, New York, NY 10065 Phone: 646-422-4450 | |
Maureen Licursi, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 161 Fort Washington Ave, 7th Floor, New York, NY 10032 Phone: 212-305-2466 | |
Ms. Brenda Dawn Slade, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3009 Broadway, Barnard College Health Service, New York, NY 10027 Phone: 212-854-2091 Fax: 212-854-2702 | |
Ms. Meredith Hooper Conry, N.P.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 122 W 27th St, 6th Floor, New York, NY 10001 Phone: 212-691-2900 | |
Ms. Nicole Noelle Reynolds, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1275 York Ave, New York, NY 10065 Phone: 212-682-7326 | |
Mrs. Sharlene Seecharran, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1275 York Ave, New York, NY 10065 Phone: 212-639-2203 | |
Christina Madinabeitia Durney, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1275 York Ave, New York, NY 10065 Phone: 212-639-5164 |