Provider Demographics
NPI:1124190129
Name:HELLINGER, ALEXANDER (PT)
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:
Last Name:HELLINGER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8801 SHORE RD APT 4FE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5450
Mailing Address - Country:US
Mailing Address - Phone:718-833-1766
Mailing Address - Fax:718-833-1766
Practice Address - Street 1:8801 SHORE RD APT 4FE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5450
Practice Address - Country:US
Practice Address - Phone:718-833-1766
Practice Address - Fax:718-833-1766
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023491-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ10B81Medicare ID - Type UnspecifiedPHYSICAL THERAPY PROVIDER