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NPI Code Detail

MEDICARE: MARIA ZOYA SULEYMANOVA

MEDICARE: MARIA ZOYA SULEYMANOVA
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
1171M00000XCase Manager/Care CoordinatorNY

General Provider Information

NPI Number : 1649730441
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA ZOYA SULEYMANOVA
Provider Business Mailing Address
First Line : 11506 ROCKAWAY BEACH BLVD
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11694-2346
Country : US
Telephone Number : 718-554-7766
Fax Number : 718-945-7766
Provider Business Practice Location Address
First Line : 11506 ROCKAWAY BEACH BLVD
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11694-2346
Country : US
Telephone Number : 718-554-7766
Fax Number : 718-945-7766
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2019
Last Update Date : 03/20/2019

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Directions to “ MARIA ZOYA SULEYMANOVA ” Practice Location

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