Provider Demographics
NPI:1841396272
Name:ALETKIN, STEVEN (PHD, PHD, MS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:ALETKIN
Suffix:
Gender:M
Credentials:PHD, PHD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2940 LEE PL
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-5032
Mailing Address - Country:US
Mailing Address - Phone:516-785-4887
Mailing Address - Fax:516-679-9461
Practice Address - Street 1:2940 LEE PL
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-5032
Practice Address - Country:US
Practice Address - Phone:516-785-4887
Practice Address - Fax:516-679-9461
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9096103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV30621Medicare ID - Type Unspecified