Individual
DR. LEV D KANDINOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2627 NE 203RD ST, SUITE 115, AVENTURA, FL 33180-1900
(305) 931-8844
Mailing address
2627 NE 203RD ST, SUITE 115, AVENTURA, FL 33180-1900
(305) 931-8844
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
234811
NY
207V00000X
Obstetrics & Gynecology Physician
25MA07862100
NJ
207V00000X
Obstetrics & Gynecology Physician
Primary
ME115451
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02684664
—
NY
01
—
140109
MEDICARE PROVIDER ID
NJ
Enumeration date
04/08/2006
Last updated
07/02/2015
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