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ALEXANDER VLADIMIROVICH OTELLIN

Debarred entity

ALEXANDER VLADIMIROVICH OTELLIN is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	ALEXANDER VLADIMIROVICH OTELLIN · OTELLIN ALEXANDER VLADIMIROVICH				[sources]
Birth date	1967-04-07				[sources]
Nationality	not available				[sources]
Country	United States of America				[sources]
First name	ALEXANDER				[sources]
Last name	OTELLIN				[sources]
Middle name	VLADIMIROVICH				[sources]
NPI	`1740302066`				[sources]
Sector	Psychiatry				[sources]
Unique Entity ID	`Y18LKHF6UJ68`				[sources]
Position	PSYCHIATRY (PHYSICIAN (MD, DO))				[sources]
Address	OTISVILLE, NY 10963, USA · P O BOX 1000, OTISVILLE, NY 10963				[sources]
Last change	2025-09-17	Last processed	2025-10-03	First seen	2025-06-10

Sanctions
Country	Authority	Program	Start date	End date
United States of America	OPM		2025-07-31	-

Medical providers deemed ineligible to participate in New York State's Medicaid program.

United States of America · OMIG

A database of suppliers who have been excluded from participating in US federal procurement.

United States of America · GSA

People and companies excluded from Federally funded health care programs

United States of America · OIG

Source data IDs: us-medny-038b46538b79837c64769ea8a8805cd39679faec · us-fed-excl-alexander-vladimirovich-otellin-10963-otisville

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