Individual
MRS. ALINA ELAZAR KANDOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7136 110TH ST APT 1E, FOREST HILLS, NY 11375-4834
(718) 896-0105
Mailing address
14442 75TH AVE, FLUSHING, NY 11367-2415
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016252
NY
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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