| NPI | 1740463546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDZHELIKA KAGZANOVA Solo Practician 718-859-6786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 226925) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2013-12-18 |