Provider Demographics
NPI:1336320910
Name:VLADIMIR ALHOV MD PC
Entity Type:Organization
Organization Name:VLADIMIR ALHOV MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALHOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-338-6655
Mailing Address - Street 1:PO BOX 20824
Mailing Address - Street 2:
Mailing Address - City:LEHIGH VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18002-0824
Mailing Address - Country:US
Mailing Address - Phone:718-338-6655
Mailing Address - Fax:718-338-7117
Practice Address - Street 1:2116 AVENUE P
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1507
Practice Address - Country:US
Practice Address - Phone:718-338-6655
Practice Address - Fax:718-338-7117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-24
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWET561Medicare PIN