Individual
BORIS NIYAZOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH, MBA
Contact information
Practice address
1302 2ND AVE, NEW YORK, NY 10065-5707
(212) 794-8700
Mailing address
1302 2ND AVE, NEW YORK, NY 10065-5707
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043067
NY
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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