Organization
IRINA NIAZOVA NURSE PRACTITIONER IN ADULT HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA NIAZOVA NP (NP)
(718) 459-0400
Entity
Organization
Contact information
Practice address
9610 METROPOLITAN AVE, FOREST HILLS, NY 11375-6625
(718) 459-0400
Mailing address
6291 WETHEROLE ST, REGO PARK, NY 11374-1564
(917) 678-7968
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
04/04/2019
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