Organization
ADVANCED OB/GYN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMILA AGAYAVA M.D. (OWNER)
(718) 336-1909
Entity
Organization
Contact information
Practice address
1725 E 12TH ST, #301, BROOKLYN, NY 11229-1028
(718) 336-1909
(718) 336-1929
Mailing address
1725 E 12TH ST, SUITE 301, BROOKLYN, NY 11229-1028
(718) 336-1909
(718) 336-1929
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
226831
NY
207V00000X
Obstetrics & Gynecology Physician
238834
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457364804
NPI
NY
Enumeration date
05/20/2011
Last updated
02/08/2024
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