| Doctor Name: | DR. VIKTORYIA KAZLOUSKAYA |
| NPI Number: | 1013316330 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | P94391 |
| Business Practice Address: | 450 Clarkson Avenue, Box 1262 Dept Suny Downstate Medical Center Brooklyn, NY - 112034006 |
| Business Phone Number: | 7182708867 |
| Business Fax Number: | |
| Mailing Address: | 450 Clarkson Avenue, Box 1262, Dept Suny Downstate Medical Center BROOKLYN |
| State: | NY |
| Postal Code: | 112030000 |
| Phone Number: | 7182708867 |
| Fax Number: | |
| NPI Enumeration Date: | 08/22/2014 |
| NPI Last Update Date: | 04/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | P94391 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |