Provider Demographics
NPI:1568889608
Name:FROLOV, ALEXANDER
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:FROLOV
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 1:710 W 168TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3726
Mailing Address - Country:US
Mailing Address - Phone:646-426-3876
Mailing Address - Fax:212-342-4536
Practice Address - Street 1:5323 HARRY HINES BLVD.
Practice Address - Street 2:MC 9129
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-9129
Practice Address - Country:US
Practice Address - Phone:214-645-8800
Practice Address - Fax:214-645-9221
Is Sole Proprietor?:No
Enumeration Date:2014-03-26
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2977082084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology