MEDICARE: MR. ALBERT MUSHIYEV FNP

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
1	363LF0000X	Family Nurse Practitioner	358984	NY

General Provider Information

NPI Number	:	1770435265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALBERT MUSHIYEV FNP

Provider Business Mailing Address
First Line	:	10812 69TH RD
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-3843
Country	:	US
Telephone Number	:	718-840-9186
Fax Number	:

Provider Business Practice Location Address
First Line	:	6861 YELLOWSTONE BLVD STE 118
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-9403
Country	:	US
Telephone Number	:	718-840-9186
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	04/22/2026

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