Individual
BAKTYGUL ABDIEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23A DOTY AVE, STATEN ISLAND, NY 10305-4717
(347) 449-2307
Mailing address
23A DOTY AVE, STATEN ISLAND, NY 10305-4717
(347) 449-2307
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
683483
NY
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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