Individual
MARINA DZHURAYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9966 65TH AVE, REGO PARK, NY 11374-3653
(347) 527-8408
Mailing address
9966 65TH AVE, REGO PARK, NY 11374-3653
(347) 527-8408
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
642523121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
642523121
—
NY
Enumeration date
11/28/2016
Last updated
11/28/2016
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