Individual
MRS. RAKHAT MUSAEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 904-4105
Mailing address
3636 WALDO AVE APT 3A, BRONX, NY 10463-2248
(347) 330-7576
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382884-1
NY
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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