Individual
ELVINA BAAZOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2601 OCEAN PARKWAY, BROOKLYN, NY 11235
(347) 873-2287
Mailing address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020513-1
NY
Other
Enumeration date
02/09/2017
Last updated
03/14/2017
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