Provider Demographics
NPI:1275786998
Name:VOYNOV, ALEKSANDR (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALEKSANDR
Middle Name:
Last Name:VOYNOV
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 BRIGHTON 6TH ST
Mailing Address - Street 2:#7C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6409
Mailing Address - Country:US
Mailing Address - Phone:646-359-4389
Mailing Address - Fax:
Practice Address - Street 1:1439 AMSTERDAM AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-7436
Practice Address - Country:US
Practice Address - Phone:212-234-4666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-25
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049659183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist