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NPI Code Detail

MEDICARE: UNI HEALTH MEDICAL PC

MEDICARE: UNI HEALTH MEDICAL PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician226925NY

General Provider Information

NPI Number : 1740463546
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNI HEALTH MEDICAL PC
Provider Business Mailing Address
First Line : 1908 AVENUE K
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-4904
Country : US
Telephone Number : 718-859-6786
Fax Number : 718-859-6783
Provider Business Practice Location Address
First Line : 1908 AVENUE K
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-4904
Country : US
Telephone Number : 718-859-6786
Fax Number : 718-859-6783
Authorized Official
Title or Position : SOLO PRACTICIAN
Name : MRS. ANDZHELIKA KAGZANOVA
Credential : DO
Telephone Number : 718-859-6786
Provider Enumeration Date : 12/14/2007
Last Update Date : 12/18/2013

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Directions to “UNI HEALTH MEDICAL PC ” Practice Location

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