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Individual

AZAMAT MAIKOTOV

Active
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Individual

AZAMAT MAIKOTOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR17531800
NJ
163W00000X
Registered Nurse
627853
NY
163WR0006X
Registered Nurse First Assistant
121625
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
121625
NY

Other

Enumeration date
01/29/2018
Last updated
02/24/2025
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