Provider Demographics
NPI:1326216193
Name:ABDURAKHMANOV, ALEKSANDR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALEKSANDR
Middle Name:
Last Name:ABDURAKHMANOV
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 1:154 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-4904
Mailing Address - Country:US
Mailing Address - Phone:212-255-8000
Mailing Address - Fax:212-255-8002
Practice Address - Street 1:154 9TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-4904
Practice Address - Country:US
Practice Address - Phone:212-255-8000
Practice Address - Fax:212-255-8002
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050333183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist