Individual
DR. ALLA SABZANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4604 31ST AVE, SUITE B, ASTORIA, NY 11103-1842
(718) 545-2100
(718) 545-1900
Mailing address
2202 STEINWAY ST, ASTORIA, NY 11105-1875
(718) 423-0808
(718) 204-6866
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
239119
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02802353
—
NY
Enumeration date
08/18/2006
Last updated
04/03/2009
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