Individual
DR. ANDZHELIKA KAGZANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1908 AVENUE K, BROOKLYN, NY 11230-4904
(718) 859-6786
(866) 481-4658
Mailing address
1908 AVENUE K, BROOKLYN, NY 11230-4904
(718) 859-6786
(866) 481-4658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
226925
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02404915
—
NY
Enumeration date
07/05/2006
Last updated
12/18/2013
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