Healthcare Provider Details

I. General information

NPI: 1962316786
Provider Name (Legal Business Name): MALIKA AMINOVA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1095 E 15TH ST APT 3D
BROOKLYN NY
11230-4436
US

IV. Provider business mailing address

1095 E 15TH ST APT 3D
BROOKLYN NY
11230-4436
US

V. Phone/Fax

Practice location:
  • Phone: 929-441-1488
  • Fax:
Mailing address:
  • Phone: 929-441-1488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberN47368
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: