Individual
ADELLA NIYAZOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10236 64TH AVE, FOREST HILLS, NY 11375-1547
(917) 781-3368
Mailing address
10236 64TH AVE APT 2F, FOREST HILLS, NY 11375-1505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N05854
NY
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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