Alla Kandhorov Nurse Practitioner in Family Health PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ALLA KANDHOROV NURSE PRACTITIONER IN FAMILY HEALTH PC

Practice address

1 Bay Club Dr Apt 12C
Bayside, NY 11360-2909

Phone

(347) 779-5010

NPI assigned

Mar 10, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alla Kandhorov, NPNPI 1346934445

Title

President

Phone

(347) 779-5010

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alla Kandhorov

  • Family Nurse Practitioner
  • Hollis, NY
  • NPI 1346934445

  Family

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1033918347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAY CLUB DR APT 12C",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAY CLUB DR APT 12C",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602909",
            "telephone_number": "347-779-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLA KANDHOROV NURSE PRACTITIONER IN FAMILY HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "KANDHOROV",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-779-5010",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bayside, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.