Individual
ALEXANDER NIYAZOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2277-83 CONEY ISLAND AVE, BROOKLYN, NY 11223
(212) 305-2500
Mailing address
2277 CONEY ISLAND AVE STE 2A, BROOKLYN, NY 11223-3337
(718) 998-9890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
05/12/2021
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