Individual
DILYARA IAFIASOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
332 E 14TH ST, NEW YORK, NY 10003-4243
(212) 481-3333
Mailing address
18 DIAZ ST, STATEN ISLAND, NY 10305-4427
(718) 687-3437
(718) 448-5060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F345161-01
NY
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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