DIANA KAZAKOV

WOODHAVEN, NY
NPI1962257345
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: NY  353692)
Enumeration Date2024-04-19
Last Update Date2024-04-19
Business Address
DIANA KAZAKOV
9209 JAMAICA AVE
WOODHAVEN, NY 11421-2108
Phone number: 917-300-7225
Mailing Address
DIANA KAZAKOV
188 FOREST ST
ROSLYN HEIGHTS, NY 11577-1241
Phone number:
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