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NPI Code Detail

MEDICARE: ZULFIYA ISLAMOVA

MEDICARE: ZULFIYA ISLAMOVA
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
1174400000XSpecialistNY
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1902353592
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZULFIYA ISLAMOVA
Provider Business Mailing Address
First Line : 20 NUGENT AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10305-3512
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1250 HYLAN BLVD STE 9B
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10305-1945
Country : US
Telephone Number : 718-424-2596
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2016
Last Update Date : 09/10/2022

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Directions to “ ZULFIYA ISLAMOVA ” Practice Location

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