SearchNew York152W00000X

Roman Kakzanov, OD

NPI 1760897383 · on the registry since 2014

Practice

Address
119-15 Atlantic Avenue
Richmond Hill, NY 11418
Phone
(718) 805-0700
Fax
(718) 805-5621
Organisation at this address
Harry Robert Maximilan Koster, Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-09-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York