Provider Demographics
NPI:1568692614
Name:USHKIN, ALEKSEY
Entity Type:Individual
Prefix:
First Name:ALEKSEY
Middle Name:
Last Name:USHKIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 JONES DR
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12309-3234
Mailing Address - Country:US
Mailing Address - Phone:518-456-2538
Mailing Address - Fax:
Practice Address - Street 1:126 COOKE HALL
Practice Address - Street 2:UNIVERSITY AT BUFFALO
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14260-1300
Practice Address - Country:US
Practice Address - Phone:716-645-3688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program