Dr. Miryem Kandinov D.D.S Pc

LBN: Dr. Miryem Kandinov D.D.S Pc
Dr. Miryem Kandinov D.D.S Pc is an health care organization with primary practice located at 123-60 83 Ave Suite 2W, Kew Gardens NY 11415. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dr. Miryem Kandinov D.D.S Pc can be contacted via phone (718) 261-6310, or through Kandinov, Miryem via phone (718) 261-6310.

Contact Information

Primary practice address
123-60 83 Ave Suite 2W Kew Gardens NY 11415
Phone: (718) 261-6310
Fax: (718) 261-1085
Website:
Map and Directions
Authorized official contact:
Name: Kandinov, Miryem Doctor of Dental Surgery (DDS)
Phone: (718) 261-6310

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 045011 New York

Profile Details

NPI number 1003087008
LBN Legal business name Dr. Miryem Kandinov D.D.S Pc
DBA Doing business as
Authorized official Kandinov, Miryem Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2008
Last updated Mar 18th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003087008 NPPES
New York MEDICAID 01474033

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