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NPI Code Detail

MEDICARE: ALEXANDER BANGIEV MEDICAL PC

MEDICARE: ALEXANDER BANGIEV 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
1207RN0300XNephrology Physician226004NY

General Provider Information

NPI Number : 1841439221
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALEXANDER BANGIEV MEDICAL PC
Provider Business Mailing Address
First Line : 7333 182ND ST
Second Line :
City : FRESH MEADOWS
State : NY
Zip : 11366-1611
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1523 VOORHIES AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-3912
Country : US
Telephone Number : 718-743-2200
Fax Number :
Authorized Official
Title or Position : MANEGER
Name : RITA BANGY
Credential :
Telephone Number : 718-683-0286
Provider Enumeration Date : 02/09/2009
Last Update Date : 02/09/2009

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Directions to “ALEXANDER BANGIEV MEDICAL PC ” Practice Location

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