SearchNew York363LP2300X

Diana Kazakov

NPI 1962257345 · on the registry since 2024 · sole proprietor

Practice

Address
9209 Jamaica Ave
Woodhaven, NY 11421
Phone
(917) 300-7225

Registry record

Primary taxonomy
363LP2300X
363LP2300X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-19

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