Individual
AZIZA SULTANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6860 AUSTIN ST STE 306, FOREST HILLS, NY 11375-4223
(718) 878-4099
Mailing address
6210 99TH ST APT 6J, REGO PARK, NY 11374-1444
(347) 257-5181
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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