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Organization
KINGS MEDICAL SUITE, PC
Active
Organization
KINGS MEDICAL SUITE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMILA AGAYEVA M.D. (MEDICAL DIRECTOR)
(718) 336-1909
Entity
Organization
Contact information
Practice address
1725 E 12TH ST STE 301, BROOKLYN, NY 11229-1068
(718) 336-1909
(718) 336-1929
Mailing address
1725 E 12TH ST STE 301, BROOKLYN, NY 11229-1068
(718) 336-1909
(718) 336-1929
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AAAASF # 3833
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CERT # 3833
AAAASF, INC..
NY
Enumeration date
07/22/2013
Last updated
07/22/2013
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