VINCENT KABANOV
NPI 1659991636
Specialist in Brooklyn, NY
- 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
- Code Navigator
Location Map
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.