Individual
MRS. AKSANA M. SULEYMANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
VA NY HARBOR HEALTHCARE SYSTEM, 423 E 23RD ST, NEW YORK, NY 10010
(212) 686-7500
Mailing address
7502 169TH ST, FRESH MEADOWS, NY 11366-1338
(917) 293-2661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013236
NY
Other
Enumeration date
06/22/2009
Last updated
05/02/2024
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