ACTIVE AGING MEDICAL P.C.
Osteopathic Medicine at 5 Ave, New York, NY

License number
New York 254294
Category
Osteopathic Medicine
Type
Geriatric Medicine
Owner
Name: ALEXANDER KOLESSA MD
Title: PRESIDENT
Phone: (732) 425-3564
Address
Address
244 5Th Ave SUITE 200, New York, NY 10001
National Provider ID: 1073910055
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ACTIVE AGING MEDICAL, PC

244 5 Ave STE # 200, New York, NY 10001

Registration:
Apr 16, 2012
State ID:
4231362
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Md Alexander Kolessa, 244 5 Ave STE # 200, New York, NY 10001 (Physical)
Agent:
Alexander Kolessa,244 5 Ave #200, New York, NY 10001 (Physical)

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