Provider Demographics
NPI:1124368147
Name:ALEXANDER, JOHN N (DC, BS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:N
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:DC, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 WASHINGTON ST.
Mailing Address - Street 2:2W
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030
Mailing Address - Country:US
Mailing Address - Phone:973-886-6377
Mailing Address - Fax:
Practice Address - Street 1:12 W 21ST ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6917
Practice Address - Country:US
Practice Address - Phone:646-484-5763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03738111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor