Individual
IMRAN BAZOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2959 AVENUE Y, BROOKLYN, NY 11235-1624
(718) 233-9098
Mailing address
2708 HEALY AVE, FAR ROCKAWAY, NY 11691-1808
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
005128
NY
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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