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NPI Code Detail

MEDICARE: ZOYA MAKSUMOVA M.D.

MEDICARE:   ZOYA  MAKSUMOVA  M.D.
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
12085R0205XRadiological Physics Physician200740NY

General Provider Information

NPI Number : 1730119777
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZOYA MAKSUMOVA M.D.
Provider Business Mailing Address
First Line : 11210 QUEENS BLVD
Second Line : 26E
City : FOREST HILLS
State : NY
Zip : 11375-6344
Country : US
Telephone Number : 917-692-7309
Fax Number :
Provider Business Practice Location Address
First Line : 200 PARK AVE S
Second Line : SUITE 1103
City : NEW YORK
State : NY
Zip : 10003-1503
Country : US
Telephone Number : 212-674-0444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 02/04/2008

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Directions to “ ZOYA MAKSUMOVA M.D.” Practice Location

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