Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nadegda Kandchorov

Individual provider Family Nurse Practitioner · NPI 1962241109

Nadegda Kandchorov is a Nurse Practitioner in Fresh Meadows, New York. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
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Practice location Address checks out

7315 194th St
Fresh Meadows, NY 11366-1835
Phone: (917) 535-1505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F353465 (NY)

Record details

NPI number1962241109
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 20, 2024
Last updated in NPPESMay 20, 2024
Certification dateMay 19, 2024
Mailing address7315 194th St, Fresh Meadows, NY 11366-1835

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

Other providers in Fresh Meadows