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Organization

VAMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARCEL KAGANOVSKAYA (NURSE PRACTITIONER)
(646) 404-0710
Entity
Organization

Contact information

Practice address
300 E 34TH ST APT 8D, NEW YORK, NY 10016-5209
(646) 404-0710
Mailing address
300 E 34TH ST APT 8D, NEW YORK, NY 10016-5209
(646) 404-0710

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
340371
NY
282N00000X
General Acute Care Hospital
Primary
340371
NY
313M00000X
Nursing Facility/Intermediate Care Facility
340371
NY

Other

Enumeration date
02/06/2016
Last updated
02/06/2016
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