Individual
GULNOZA AZIEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, MS
Contact information
Practice address
33 W 42ND ST, NEW YORK, NY 10036-8005
(917) 972-5163
Mailing address
33 W 42ND ST, NEW YORK, NY 10036-8005
(917) 972-5163
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009784
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2023
Last updated
06/27/2023
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