ALEKSANDR USOROV

AMBOY MEDICAL PRACTICE PC

Dr ALEKSANDR USOROV is a male medical professional, specializing in Nephrology. He graduated in 2004 from University Of Colorado School Of Medicine.

Contact

AMBOY MEDICAL PRACTICE PC

11 RALPH PL
SUITE 102
STATEN ISLAND
NY
103044405

Tel: 7184476545

ALEKSANDR USOROV Information

Npi 1003010174
Pac Id 5597810598
Professional Enrollment Id I20110615000049
Last Name USOROV
First Name ALEKSANDR
Middle Name
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF COLORADO SCHOOL OF MEDICINE
Graduation Year 2004
Primary Specialty NEPHROLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name AMBOY MEDICAL PRACTICE PC
Group Practice Pac Id 2860538170
Number Of Group Practice Members 111
Line 1 Street Address 11 RALPH PL
Line 2 Street Address SUITE 102
Marker Of Address Line 2 Suppression
City STATEN ISLAND
State NY
Zip Code 103044405
Phone Number 7184476545
Hospital Affiliation Ccn 1 330028
Hospital Affiliation Lbn 1 RICHMOND UNIVERSITY MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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