MEDICARE: KAMILA ABDUKADYROVA MS.SPED

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
1	251B00000X	Case Management Agency		NY
2	174400000X	Specialist	930850151	NY

General Provider Information

NPI Number	:	1881045979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAMILA ABDUKADYROVA MS.SPED

Provider Business Mailing Address
First Line	:	2427 E 29TH ST APT 2B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-1920
Country	:	US
Telephone Number	:	718-373-8060
Fax Number	:

Provider Business Practice Location Address
First Line	:	2427 E 29TH ST
Second Line	:	APT 2B
City	:	BROOKLYN
State	:	NY
Zip	:	11235-1949
Country	:	US
Telephone Number	:	718-373-8060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2016
Last Update Date	:	03/22/2026

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