Individual
ANNA BANGIYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7909 NORTHERN BLVD, JACKSON HEIGHTS, NY 11372-1223
(347) 836-5824
Mailing address
63164 ALDERTON ST, REGO PARK, NY 11374-3945
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
357166
NY
363LF0000X
Family Nurse Practitioner
Primary
357166
NY
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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