Provider Demographics
NPI:1679964340
Name:ALEXEEVA, OLGA MIKHAILOVNA (MD)
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:MIKHAILOVNA
Last Name:ALEXEEVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:333 WESTCHESTER AVE STE E104
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2930
Mailing Address - Country:US
Mailing Address - Phone:973-695-8033
Mailing Address - Fax:973-538-0043
Practice Address - Street 1:95 MADISON AVE STE 306
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6389
Practice Address - Country:US
Practice Address - Phone:973-695-8033
Practice Address - Fax:973-538-0043
Is Sole Proprietor?:No
Enumeration Date:2015-02-16
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA124259002084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology