Individual
BURKHO NISIMOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
180-05 HILLSIDE AVE, JAMAICA, NY 11432-4727
(718) 526-6300
(718) 286-3863
Mailing address
55 WATER ST FL 2, NEW YORK, NY 10041-0010
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011578
NY
Other
Enumeration date
01/22/2007
Last updated
09/30/2025
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