Provider Demographics
NPI:1316978018
Name:TOCHER, ALEXANDER A (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:A
Last Name:TOCHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 ROUTE 25A
Mailing Address - Street 2:SUITE 10-11
Mailing Address - City:MILLER PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11764-2646
Mailing Address - Country:US
Mailing Address - Phone:631-821-4202
Mailing Address - Fax:631-821-7371
Practice Address - Street 1:595 ROUTE 25A
Practice Address - Street 2:SUITE 10-11
Practice Address - City:MILLER PLACE
Practice Address - State:NY
Practice Address - Zip Code:11764-2646
Practice Address - Country:US
Practice Address - Phone:631-821-4202
Practice Address - Fax:631-821-7371
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY137681-1208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics