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NPI Code Detail

MEDICARE: LIORA AMINOV

MEDICARE:   LIORA  AMINOV
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker120460NY

General Provider Information

NPI Number : 1699485706
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIORA AMINOV
Provider Business Mailing Address
First Line : 11835 QUEENS BLVD STE 1530
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-7252
Country : US
Telephone Number : 718-651-7770
Fax Number :
Provider Business Practice Location Address
First Line : 11835 QUEENS BLVD STE 1530
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-7252
Country : US
Telephone Number : 718-651-7770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2022
Last Update Date : 05/31/2026

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Directions to “ LIORA AMINOV ” Practice Location

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