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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