# ADVANCED OB/GYN, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356634554
- **Authorized official:** DR. KAMILA AGAYAVA M.D. (OWNER)
- **Authorized official phone:** (718) 336-1909

## Contact information

- **Practice address:** 1725 E 12TH ST, \#301, BROOKLYN, NY 11229-1028
- **Practice address phone:** (718) 336-1909
- **Practice address fax:** (718) 336-1929
- **Mailing address:** 1725 E 12TH ST, SUITE 301, BROOKLYN, NY 11229-1028
- **Mailing address phone:** (718) 336-1909
- **Mailing address fax:** (718) 336-1929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 226831 | NY | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 238834 | NY | — |

## Other

- **Enumeration date:** 05/20/2011
- **Last updated:** 02/08/2024