Provider Demographics
NPI:1437842408
Name:KARNICK, ALEKSANDR T (MA, MPH)
Entity Type:Individual
Prefix:
First Name:ALEKSANDR
Middle Name:T
Last Name:KARNICK
Suffix:
Gender:M
Credentials:MA, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 EVA ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02908-2429
Mailing Address - Country:US
Mailing Address - Phone:212-470-7759
Mailing Address - Fax:
Practice Address - Street 1:1 EVA ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02908-2429
Practice Address - Country:US
Practice Address - Phone:212-470-7759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program