IndividualActive
Alexander Volchonok
NPI 1134519150 · Periodontics · New York, NY
Provider details
- NPI number
- 1134519150
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 22DI02522100 (NJ)
Specialties & taxonomies
Dental Providers
Practice location
135 W 96th St Apt 10e
New York, NY 10025-6437
Phone: (856) 524-2565
Approximate (ZIP-level) locationGet directions
Mailing address
135 W 96th St Apt 10e
New York, NY 10025-6437
Registry dates
- Enumerated
- 2015-01-28
- Last updated
- 2015-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.