Individual
DR. ANNA NIYAZOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
9109 63RD DR, REGO PARK, NY 11374-3849
(718) 255-6100
Mailing address
9109 63RD DR, REGO PARK, NY 11374-3849
(718) 255-6100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
057267
NY
Other
Enumeration date
09/05/2012
Last updated
11/27/2012
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