Individual
ELI NIYAZOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1384 E 18TH ST, BROOKLYN, NY 11230-7502
(917) 957-2035
Mailing address
1384 E 18TH ST, BROOKLYN, NY 11230-7502
(917) 957-2035
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
1836566241
NY
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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