Provider Demographics
NPI:1275167793
Name:ZELDIN, ALEXANDER (OD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:
Last Name:ZELDIN
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 OCEAN AVE APT 8A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5446
Mailing Address - Country:US
Mailing Address - Phone:917-613-9141
Mailing Address - Fax:
Practice Address - Street 1:980 E 12TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-3672
Practice Address - Country:US
Practice Address - Phone:917-471-6533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-24
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV009107152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist