Provider Demographics
NPI:1447573506
Name:KOROL, ALEKSANDR (RPH)
Entity Type:Individual
Prefix:MR
First Name:ALEKSANDR
Middle Name:
Last Name:KOROL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 WILLIAM ST
Mailing Address - Street 2:GROUND FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-2605
Mailing Address - Country:US
Mailing Address - Phone:212-233-0333
Mailing Address - Fax:212-233-0444
Practice Address - Street 1:165 WILLIAM ST
Practice Address - Street 2:GROUND FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-2605
Practice Address - Country:US
Practice Address - Phone:212-233-0333
Practice Address - Fax:212-233-0444
Is Sole Proprietor?:No
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045466183500000X
NJ28RIO3035100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist