Provider Demographics
NPI:1568770253
Name:GEYMAN, ALEKSEY
Entity Type:Individual
Prefix:
First Name:ALEKSEY
Middle Name:
Last Name:GEYMAN
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 1:1800 OCEAN PKWY
Mailing Address - Street 2:APT C12
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-3039
Mailing Address - Country:US
Mailing Address - Phone:718-414-9620
Mailing Address - Fax:
Practice Address - Street 1:1800 OCEAN PKWY
Practice Address - Street 2:APT C12
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-3039
Practice Address - Country:US
Practice Address - Phone:718-414-9620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY627654163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool