Organization
IGOR KUSAYEV MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGOR KUSAYEV M.D. (AUTHORIZED REPRESENTATIVE)
(347) 247-6773
Entity
Organization
Contact information
Practice address
1129 NORTHERN BLVD, MANHASSET, NY 11030-3022
(347) 247-6773
Mailing address
11902 83RD AVE, KEW GARDENS, NY 11415-1322
(347) 247-6773
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
220339
NY
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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