Provider Demographics
NPI:1952456428
Name:JANUMS, ALEXANDER - (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:-
Last Name:JANUMS
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 1:340 AARON CT
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-2964
Mailing Address - Country:US
Mailing Address - Phone:845-339-4733
Mailing Address - Fax:845-339-2875
Practice Address - Street 1:340 AARON CT
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-2964
Practice Address - Country:US
Practice Address - Phone:845-339-4733
Practice Address - Fax:845-339-2875
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2200702084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH88224Medicare UPIN