ALEKSANDR KAZAKOV

REGO PARK, NY
NPI1386195386
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  020216)
Enumeration Date2016-10-14
Last Update Date2016-10-14
Business Address
Mr. ALEKSANDR KAZAKOV PA-C
9840 64TH AVE APT 1H
REGO PARK, NY 11374-2514
Phone number: 718-791-3397
Mailing Address
Mr. ALEKSANDR KAZAKOV PA-C
9840 64TH AVE APT 1H
REGO PARK, NY 11374-2514
Phone number: 718-791-3397
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