Provider Demographics
NPI:1972851665
Name:GERMAN, ALEXANDER (MASTER)
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:
Last Name:GERMAN
Suffix:
Gender:M
Credentials:MASTER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 FIRST AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK,
Mailing Address - State:NEW YORK
Mailing Address - Zip Code:10029
Mailing Address - Country:UM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1901 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-7404
Practice Address - Country:US
Practice Address - Phone:212-423-6627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist