Individual
DR. JULIA NIYAZOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 E 172ND ST, BRONX, NY 10460-5802
(347) 767-2200
Mailing address
910 E 172ND ST, BRONX, NY 10460-5802
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0574941
NY
Other
Enumeration date
08/14/2014
Last updated
11/17/2014
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