Individual
DIANA ELISHAIYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
392B BEDFORD PARK BLVD, BRONX, NY 10458-2415
(718) 684-8864
(718) 684-8865
Mailing address
10 LINDEN ST, WOODMERE, NY 11598-2620
(347) 327-1141
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
055050
NY
Other
Enumeration date
10/05/2010
Last updated
11/10/2025
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