OrganizationActive
Active Aging Medical P.C.
NPI 1073910055 · Geriatric Medicine (Internal Medicine) Physician · New York, NY
Provider details
- NPI number
- 1073910055
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Alexander Kolessa, President
- License
- 254294 (NY)
Practice location
244 5th Ave
Suite 200
New York, NY 10001-7604
Phone: (732) 425-3564
Fax: (888) 999-8689
Mailing address
244 5th Ave
New York, NY 10001-7604
Registry dates
- Enumerated
- 2014-11-19
- Last updated
- 2015-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.