Provider Demographics
NPI:1912091752
Name:DOWNING MEDICAL, PC
Entity type:Organization
Organization Name:DOWNING MEDICAL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXEYENKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-675-7780
Mailing Address - Street 1:31 WASHINGTON SQUARE WEST
Mailing Address - Street 2:SUITE 5F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011
Mailing Address - Country:US
Mailing Address - Phone:212-675-7780
Mailing Address - Fax:212-675-9801
Practice Address - Street 1:31 WASHINGTON SQUARE WEST
Practice Address - Street 2:SUITE 5F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011
Practice Address - Country:US
Practice Address - Phone:212-675-7780
Practice Address - Fax:212-675-9801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207R00000X
NY211233207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG86597Medicare UPIN
G86597Medicare UPIN