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NPI Code Detail

MEDICARE: ALENA NAZAROVA

MEDICARE: ALENA NAZAROVA
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 Worker110025NY

General Provider Information

NPI Number : 1760083299
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALENA NAZAROVA
Provider Business Mailing Address
First Line : 7802 BAY PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-1508
Country : US
Telephone Number : 718-331-6800
Fax Number :
Provider Business Practice Location Address
First Line : 7802 BAY PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-1508
Country : US
Telephone Number : 718-331-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2020
Last Update Date : 11/03/2020

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Directions to “ ALENA NAZAROVA ” Practice Location

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