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Individual

MARCEL KAGANOVSKAYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP

Contact information

Practice address
131 OVERPECK AVE, RIDGEFIELD PARK, NJ 07660-1855
(201) 667-2197
Mailing address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(570) 540-2590

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
340371
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01158200
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F404375
NY

Other

Enumeration date
04/20/2016
Last updated
05/05/2024
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