Individual
DILDORA YUSUFOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 E 15TH ST FL 7, NEW YORK, NY 10003-3153
(212) 627-9600
Mailing address
25 E 15TH ST FL 7, NEW YORK, NY 10003-3153
(212) 627-9600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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