Provider Demographics
NPI:1841539061
Name:PAKHOMOVA, ZHANNA (MS ED)
Entity type:Individual
Prefix:MS
First Name:ZHANNA
Middle Name:
Last Name:PAKHOMOVA
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 BENSON AVE
Mailing Address - Street 2:APT. A31
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4249
Mailing Address - Country:US
Mailing Address - Phone:917-770-4839
Mailing Address - Fax:
Practice Address - Street 1:2301 BENSON AVE
Practice Address - Street 2:APT. A31
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4249
Practice Address - Country:US
Practice Address - Phone:917-770-4839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist