Provider Demographics
NPI:1235365149
Name:RANCES, ALEXANDER RONALD (DO)
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:RONALD
Last Name:RANCES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 270
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-0270
Mailing Address - Country:US
Mailing Address - Phone:631-264-2037
Mailing Address - Fax:631-589-8650
Practice Address - Street 1:305 7TH AVENUE
Practice Address - Street 2:SUITE 13C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:646-647-0022
Practice Address - Fax:646-671-6891
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-05
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001718171100000X
390200000X
NY254761207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No171100000XOther Service ProvidersAcupuncturist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03837827Medicaid