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Individual

MR. ALEKSANDR NIYAZOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8310 118TH ST, APT# 5D, KEW GARDENS, NY 11415-2375
(646) 472-6550
Mailing address
8310 118TH ST, APT# 5D, KEW GARDENS, NY 11415-2375
(646) 472-6550

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
3608672
NY

Other

Enumeration date
10/21/2014
Last updated
10/21/2014
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