Individual
DR. GYULNARA KYAZIMOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1906 MERMAID AVE, BROOKLYN, NY 11224-2508
(718) 333-1991
Mailing address
4414 BEDFORD AVE, BROOKLYN, NY 11229-4929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048370
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01975020
—
NY
Enumeration date
01/11/2006
Last updated
10/01/2013
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