Individual
MISS LINDA NIYAZOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1ST AVENUE 16STREET, BETH ISRAEL MEDICAL CENTER, MANHATTAN, NY 10003
(121) 242-0458
Mailing address
6536 99ST, APT#4D, REGO PARK, NY 11374
(718) 459-6931
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013948
NY
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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