Individual
DR. LUIZA GUSEYNOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3108 KINGSBRIDGE AVE, OFFICE B, BRONX, NY 10463-3956
(718) 432-0200
Mailing address
168-32 POWELLS COVE BLVD, BEECHHURST, NY 11357-1523
(917) 841-4129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
233370
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02625643
—
NY
Enumeration date
03/08/2006
Last updated
04/30/2012
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