Individual
AMIR ZIYAMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN, FNP-BC
Contact information
Practice address
2510 30TH AVE, ASTORIA, NY 11102-2448
(718) 909-0056
Mailing address
9850 63RD DR APT 8G, REGO PARK, NY 11374-2313
(718) 909-0056
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
350591
NY
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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