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NPI Code Detail

MEDICARE: NAKIA ZAMALIA BURGOS

MEDICARE: NAKIA ZAMALIA BURGOS
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
12255A2300XAthletic Trainer1324210191NY

General Provider Information

NPI Number : 1861037079
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAKIA ZAMALIA BURGOS
Provider Business Mailing Address
First Line : 3769 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-2041
Country : US
Telephone Number : 718-769-9888
Fax Number :
Provider Business Practice Location Address
First Line : 3769 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-2041
Country : US
Telephone Number : 718-769-9888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2019
Last Update Date : 11/12/2019

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11235-2041
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11235-2041
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Directions to “ NAKIA ZAMALIA BURGOS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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