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Contact Information

DR. MIRYEM KANDINOV D.D.S PC
123-60 83 AVE
SUITE 2W
KEW GARDENS, NY11415
 Phone: 718-261-6310
 Fax: 718-261-1085
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DR MIRYEM KANDINOV DDS PC · (Female)

NPI Number 1003087008
Status Active
Credentials
Entity Individual
Enumeration date 03/18/2008
Last updated 03/18/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 045011
  • NY Medicaid 01474033
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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