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Organization
UNIVERSAL FAMILY HEALTH NP SERVICES, PC
Active
Organization
UNIVERSAL FAMILY HEALTH NP SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIYA MULLAYEVA NP (OWNER)
(917) 365-7967
Entity
Organization
Contact information
Practice address
11882 METROPOLITAN AVE, KEW GARDENS, NY 11415-2001
(516) 300-0304
Mailing address
126 ERIKA LOOP, STATEN ISLAND, NY 10312-6659
(917) 365-7967
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05114838
—
NY
Enumeration date
06/17/2019
Last updated
06/17/2019
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