Individual
MRS. ANNA KAZAKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3029 BRIGHTON 12TH ST APT E7, BROOKLYN, NY 11235-5721
(917) 355-1414
Mailing address
3029 BRIGHTON 12TH ST APT E7, BROOKLYN, NY 11235-5721
(917) 355-1414
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309553
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F405574
NY
Other
Enumeration date
04/25/2012
Last updated
12/21/2025
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