Igor Kusayev Medical P.c.

NPI 1194979740 - Anesthesiology - 207L00000X

NPI Details
NPI 1194979740
Enumeration Date 11/10/2008
Last Updated 11/10/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name IGOR IGOR
Position AUTHORIZED REPRESENTATIVE
Phone (347) 247-6773
Fax
Practice Location
1129 NORTHERN BLVD
MANHASSET NY, 11030-3022, US
Phone (347) 247-6773
Fax
Business Location
11902 83RD AVE
KEW GARDENS NY, 11415-1322, US
Phone (347) 247-6773
Fax
Toxanomy
Taxonomy Code 207L00000X
License State New York
License Number 220339
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According to our database, Igor Kusayev Medical P.c. NPI is 1194979740, taxonomy code is 207L00000X and license number is 220339, license state is located at New York. Igor Kusayev Medical P.c. physically located at 1129 Northern Blvd, Manhasset NY, 11030-3022. NPI Number 1033115704 has the healthcare provider type.

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1194979740 NPI number is provided on an as is basis without warranty of any kind. 1194979740 is maintained by the National Plan & Provider Enumeration System. The contents of Igor Kusayev Medical P.c. are for informational purposes only.