MEDICARE: ZULIA SABITOVA

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	174400000X	Specialist

General Provider Information

NPI Number	:	1861020869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZULIA SABITOVA

Provider Business Mailing Address
First Line	:	1200 GRAVESEND NECK RD APT 6J
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4236
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 GRAVESEND NECK RD APT 6J
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4236
Country	:	US
Telephone Number	:	347-856-8058
Fax Number	:

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

Provider Enumeration Date	:	03/27/2020
Last Update Date	:	03/27/2020

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Directions to “ ZULIA SABITOVA ” Practice Location

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