Miryam Kandkhorov, SPECIAL EDUCATION

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

19842 Epsom Crse
Hollis, NY 11423-1302

Phone

(718) 290-5501

NPI assigned

Sep 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1881473676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19842 EPSOM CRSE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114231302",
            "telephone_number": "718-290-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19842 EPSOM CRSE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114231302",
            "telephone_number": "718-290-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDKHOROV",
        "first_name": "MIRYAM",
        "name_prefix": "Mrs.",
        "credential": "SPECIAL EDUCATION",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jyoti M Shah Physician P C
• Yael Kalbo, NP
• Diana Kalendareva
• Kamyar David Tavakoli Physician PLLC
• Alla Kandhorov
• David Kandov, PHARM.D.
• Christiana Kangal
• Arieh Kaynan, MD
• Lorretta Sylvania Kellowan, NURSE/LPN
• Amtul Khaleelullah

• Specialist in Hollis, NY
• Providers in Hollis, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.