Individual
SHAHLO NOSIROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3035 W 24TH ST, BROOKLYN, NY 11224-2114
(718) 372-4500
Mailing address
1890 E 5TH ST APT 4G, BROOKLYN, NY 11223-2814
(347) 955-6059
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
890535
NY
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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