33D0994451 CLIA NUMBER - KAKOSSIAN MEDICAL WOMAN CARE PC

Laboratory Demographics

CLIA Number: 33D0994451

Facility Name: KAKOSSIAN MEDICAL WOMAN CARE PC

Facility Address:
1180 BRIGHTON BEACH AVENUE, FIRST FLOOR
BROOKLYN, NY
ZIP 11235
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Facility Phone Number: 718 833-8777

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1265673115

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	33D0994451
LAB Type	Physician Office
Facility Name	KAKOSSIAN MEDICAL WOMAN CARE PC
Street	1180 BRIGHTON BEACH AVENUE, FIRST FLOOR
City	BROOKLYN
State	NY
ZIP	11235
Phone	718 833-8777
CertificateType	2
CertificateEffectiveDate	11/7/2022
CertificateExpirationDate	11/6/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024