Podvezko, Alexander Y

Podvezko, Alexander Y is an individual health care provider with primary practice located at 169 Riverside Dr , Binghamton NY 13905-4246. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Podvezko, Alexander Y can be contacted via phone (607) 798-5223.

Contact Information

Primary practice address
169 Riverside Dr Binghamton NY 13905-4246
Phone: (607) 798-5223
Fax: (607) 798-6187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 229266 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 229266 New York

Profile Details

NPI number 1710971551
LBN Legal business name Podvezko, Alexander Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Sep 25th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710971551 NPPES
Pennsylvania MEDICAID 1014702920002

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