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General NPI Number Information
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NPI Number | 1205788247
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Entity Type | Individual
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Provider Name | FAINA IZGIYAYEV
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Gender |
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 2255 CROPSEY AVE
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City | BROOKLYN
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State | NY
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Zip | 11214-5705
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Country | US
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Telephone | 718-266-5858
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Fax |
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Provider Business Mailing Address
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Address Line | 2357 E 19TH ST APT 1
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City | BROOKLYN
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State | NY
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Zip | 11229-4762
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 107594
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License Number State | NY
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