Individual
DR. DIANA NURUTDINOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
440 W 114TH ST, 6TH FLOOR, NEW YORK, NY 10025-1796
(212) 523-4000
(212) 523-5677
Mailing address
450 W 147TH ST, APT 42, NEW YORK, NY 10031-3803
(212) 523-4000
(212) 523-5677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2006020982
MO
207RI0200X
Infectious Disease Physician
Primary
284731-1
NY
Other
Enumeration date
12/11/2006
Last updated
06/29/2016
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