VINCENT KABANOV
NPI 1659991636
Specialist in Brooklyn, NY

Active since April 20, 2020
3091 BRIGHTON 3RD ST APT 3G, BROOKLYN, NY 11235(917) 579-3036 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Specialist

About VINCENT KABANOV

This page provides the complete NPI Profile along with additional information for Vincent Kabanov, a provider established in Brooklyn, New York with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1659991636 assigned on April 2020. The practitioner's primary taxonomy code is 174400000X with license number 1361422191 (NY). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1659991636 Verify this NPI
Provider Name
VINCENT KABANOV
Gender
Male
Entity Type
Individual
Location Address
3091 BRIGHTON 3RD ST APT 3G BROOKLYN, NY 11235
Location Phone
(917) 579-3036
Mailing Address
3091 BRIGHTON 3RD ST APT 3G BROOKLYN, NY 11235
Mailing Phone
(917) 579-3036
Is Sole Proprietor?
Yes
Enumeration Date
04-20-2020
Last Update Date
04-20-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
1361422191
License State
NY
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659991636, enumerated as an "individual" on April 20, 2020.

The provider is located at 3091 BRIGHTON 3RD ST APT 3G BROOKLYN, NY 11235 and the phone number is (917) 579-3036.

Specialist with taxonomy code 174400000X.