Individual
ARIEL NIAZOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2510 30TH AVE, ASTORIA, NY 11102-2448
(718) 932-1000
Mailing address
94-20 GUY BREWER BLVD, JAMAICA, NY 11451-0001
(718) 262-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
033513
NY
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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