MEDICARE: DR. VALERY KUZNETSOV M.D.

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
1	207RC0000X	Cardiovascular Disease Physician	207084	NY

General Provider Information

NPI Number	:	1841218039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VALERY KUZNETSOV M.D.

Provider Business Mailing Address
First Line	:	700 HICKSVILLE RD
Second Line	:
City	:	BETHPAGE
State	:	NY
Zip	:	11714-3471
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	902 QUENTIN RD FL 7
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-2214
Country	:	US
Telephone Number	:	718-431-8936
Fax Number	:	718-431-9607

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	07/31/2025

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