Individual
MRS. KHALIDA SHALMIYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 AVENUE X FL 2, BROOKLYN, NY 11235-6121
(718) 676-6116
Mailing address
3235 EMMONS AVE APT 504, BROOKLYN, NY 11235-1165
(917) 655-0503
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
588190609
NY
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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