Individual
ADELIYA NASIMOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
10310 QUEENS BLVD APT 4H, FOREST HILLS, NY 11375-3190
(718) 809-2107
Mailing address
10310 QUEENS BLVD APT 4H, FOREST HILLS, NY 11375-3190
(718) 809-2107
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2343916
NY
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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