Individual
ELINA KAGANOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 OCEAN AVE, BROOKLYN, NY 11229-4604
(718) 934-6777
(718) 934-9560
Mailing address
2700 OCEAN AVE, BROOKLYN, NY 11229-4604
(718) 934-6777
(718) 934-9560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
163225
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00901859
—
NY
Enumeration date
07/06/2006
Last updated
12/01/2020
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