Individual
AZIZA NIZAMOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 BRIGHTON 5TH ST APT 3B, BROOKLYN, NY 11235-7005
(347) 449-8896
Mailing address
3120 BRIGHTON 5TH ST APT 3B, BROOKLYN, NY 11235-7005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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