Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 280223 | NY |
N | 207VE0102X | Reproductive Endocrinologist | 280223 | NY |
Y | 207VE0102X | Reproductive Endocrinologist | 67246 | CT |
NPI | 1104106244 |
---|---|
Provider Name | Alexander Kucherov |
First Address | Ossining, NY 10562-2702 |
Second Address | Norwalk, CT 06851-1080 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2011 |
Last Update Date | 06/05/2021 |