Individual
DR. FANYA KANDINOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 174TH ST, APT 1918, SUNNY ISLES BEACH, FL 33160-3206
(201) 328-2888
Mailing address
301 174TH ST, APT 1918, SUNNY ISLES BEACH, FL 33160-3206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA07115100
NJ
207R00000X
Internal Medicine Physician
Primary
ME119379
FL
Other
Enumeration date
05/26/2006
Last updated
07/02/2015
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