Organization
ALLA KANDHOROV NURSE PRACTITIONER IN FAMILY HEALTH PC
Active
Organization
ALLA KANDHOROV NURSE PRACTITIONER IN FAMILY HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLA KANDHOROV NP (PRESIDENT)
(347) 779-5010
Entity
Organization
Contact information
Practice address
1 BAY CLUB DR APT 12C, BAYSIDE, NY 11360-2909
(347) 779-5010
Mailing address
1 BAY CLUB DR APT 12C, BAYSIDE, NY 11360-2909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/14/2025
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