Provider Demographics
NPI:1518182310
Name:DRANOVSKY, ALEX (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:
Last Name:DRANOVSKY
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 W 44TH ST APT 2FW
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4443
Mailing Address - Country:US
Mailing Address - Phone:917-902-5510
Mailing Address - Fax:212-543-5477
Practice Address - Street 1:117 W 72ND ST
Practice Address - Street 2:SUITE 5 EAST
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-3204
Practice Address - Country:US
Practice Address - Phone:917-902-5510
Practice Address - Fax:212-543-5477
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2264682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry