Individual
MS. ALLA GADIYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
500 WEST 57TH STREET, NEW YORK, NY 10019
(212) 293-3000
(212) 292-8038
Mailing address
240 OCEAN PKWY, APT 4C, BROOKLYN, NY 11218-3258
(347) 787-1904
(718) 622-2558
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
655466-1
NY
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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