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NPI Code Detail

MEDICARE: ELVINA SHALMIYEVA

MEDICARE: ELVINA SHALMIYEVA
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 Worker

General Provider Information

NPI Number : 1902577505
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELVINA SHALMIYEVA
Provider Business Mailing Address
First Line : 6603 BEACH CHANNEL DR
Second Line :
City : ARVERNE
State : NY
Zip : 11692-1433
Country : US
Telephone Number : 718-471-8671
Fax Number :
Provider Business Practice Location Address
First Line : 6603 BEACH CHANNEL DR
Second Line :
City : ARVERNE
State : NY
Zip : 11692-1433
Country : US
Telephone Number : 718-471-8671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2021
Last Update Date : 08/08/2023

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Directions to “ ELVINA SHALMIYEVA ” Practice Location

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