| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALEXANDER O POMAKOV | 1235797168 | 2022-08-07 |
Alexander O Pomakov is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1235797168. Registration indicates Alexander O Pomakov is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Alexander O Pomakov MD |
| Practice Office Address | STRONG MEMORIAL HOSPITAL 601 ELMWOOD AVE # 689 ROCHESTER, NY US |
| Practice Office Telephone | 5852752222 |
| Mailing Address | ERIE COUNTY MEDICAL CENTER, DAVID K. MILLER BUILDING, 462 GRIDER ST. BUFFALO, NY 14215 US |
| Business Telephone | 7168983941 |
| Business Fax | 7168983279 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |