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Individual
YELENA MAMEDOVA BRAZ
Active
Individual
YELENA MAMEDOVA BRAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
185185
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01274024
—
NY
Enumeration date
09/24/2008
Last updated
09/24/2008
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