Organization
AVENUE S NP IN FAMILY HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHZODA YULDASHEVA NP (OWNER)
(347) 651-9939
Entity
Organization
Contact information
Practice address
3364 NOSTRAND AVE, BROOKLYN, NY 11229-4004
(347) 651-9939
Mailing address
1000 RIVERTON ST, NORTH BRUNSWICK, NJ 08902-2256
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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