Individual
BOBURJON OLIMJONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3131 KINGS HWY STE C6, BROOKLYN, NY 11234-2643
(718) 434-0395
Mailing address
3131 KINGS HWY STE C6, BROOKLYN, NY 11234-2643
(646) 384-2634
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
736595
NY
363LF0000X
Family Nurse Practitioner
Primary
F350544
NY
Other
Enumeration date
11/22/2022
Last updated
09/16/2023
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