Provider Demographics
NPI:1689368128
Name:CHEPESIUK, ALEXANDER MARTIN PERUN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:MARTIN PERUN
Last Name:CHEPESIUK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1090 AMSTERDAM AVENUE
Mailing Address - Street 2:16TH FLOOR
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10025
Mailing Address - Country:US
Mailing Address - Phone:212-523-5194
Mailing Address - Fax:212-523-3642
Practice Address - Street 1:1090 AMSTERDAM AVENUE
Practice Address - Street 2:16TH FLOOR
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10025
Practice Address - Country:US
Practice Address - Phone:212-523-5194
Practice Address - Fax:212-523-3642
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-07
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program