Individual
CHOLPON MURZALIEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-4959
Mailing address
PO BOX 11302, BELFAST, ME 04915-4004
(718) 270-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1568419000
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113190652
—
NY
Enumeration date
05/27/2020
Last updated
05/27/2020
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