Individual
MRS. AYNISA MUKHAMEDIEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1215 AVENUE N, # 4 H, BROOKLYN, NY 11230-5960
(718) 913-8551
Mailing address
1215 AVENUE N, # 4 H, BROOKLYN, NY 11230-5960
(718) 913-8551
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312186
NY
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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