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Individual

IRINA NIYAZOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9109 63RD DR, REGO PARK, NY 11374-3849
(718) 255-6100
Mailing address
9109 63RD DR, REGO PARK, NY 11374-3849
(718) 255-6100

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
049809
NY

Other

Enumeration date
05/01/2019
Last updated
05/01/2019
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