Individual
ALEXANDRA MIRZAYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(917) 605-4950
Mailing address
79-01 BROADWAY, ELMHURST, NY 11373
(917) 605-4950
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008053-1
NY
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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