Provider Demographics
NPI:1659328011
Name:AIZMAN, ALEXANDER (MD,)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:AIZMAN
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2960 OCEAN AVE
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3202
Mailing Address - Country:US
Mailing Address - Phone:718-646-2025
Mailing Address - Fax:718-646-2024
Practice Address - Street 1:2960 OCEAN AVE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3202
Practice Address - Country:US
Practice Address - Phone:718-646-2025
Practice Address - Fax:718-646-2024
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY222431207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology