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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 D.D.S PC

NPI Number 1003087008
LBN Legal business name DR. MIRYEM KANDINOV D.D.S PC
Authorized official MIRYEM KANDINOV - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/18/2008
Last updated 03/18/2008 - About 18 years ago
Identifiers
NY License # 045011
NY Medicaid 01474033
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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