Individual
MAHIRA NASIBOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 AVENUE Y, BROOKLYN, NY 11235-3511
(718) 332-6159
Mailing address
1801 AVENUE Y, BROOKLYN, NY 11235-3511
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
551074
NY
Other
Enumeration date
02/07/2015
Last updated
02/07/2015
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