Individual
ALLA KANDHOROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8015 188TH ST, HOLLIS, NY 11423-1028
(347) 779-5010
Mailing address
1 BAY CLUB DR APT 12C, BAYSIDE, NY 11360-2909
(347) 779-5010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
352047
NY
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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