Individual
ELENA A KAZNATCHEEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
(845) 818-7555
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
(845) 818-7555
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
248811
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02757642
—
NY
Enumeration date
06/08/2006
Last updated
01/20/2010
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