National Provider Identifier
Alexander Z Selioutski, M.D.
Alexander Z Selioutski, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Mayville, NY and a listed phone number of (716) 753-7107.
Profile Overview
- NPI
- 1851360606
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- March 15, 2006
- Last Updated
- February 29, 2012
Practice Location
- 95 E Chautauqua St
- Mayville, NY 14757-0168
Phone: (716) 753-7107
Mailing Address
- 95 E Chautauqua St
- PO Box 168
- Mayville, NY 14757-0168
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1851360606
- Entity Type
- Individual
- Last Name
- Selioutski
- First Name
- Alexander
- Middle Name
- Z
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 95 E Chautauqua St
- Mailing Address Line 2
- PO Box 168
- Mailing City
- Mayville
- Mailing State
- NY
- Mailing ZIP Code
- 14757-0168
- Mailing Country
- US
- Mailing Phone
- (716) 753-7107
- Mailing Fax
- (716) 753-7980
- Practice Street Address
- 95 E Chautauqua St
- Practice City
- Mayville
- Practice State
- NY
- Practice ZIP Code
- 14757-0168
- Practice Country
- US
- Practice Phone
- (716) 753-7107
- Practice Fax
- (716) 753-7980
- Enumeration Date
- March 15, 2006
- Last Updated
- February 29, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 0110754 (NY, Independent Health), 00020544403 (NY, Univera), 000525727007 (NY, Bcbswny), 01958516 (NY)