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NPI Code Detail

MEDICARE: MR. ELI MUSOEV

MEDICARE: MR. ELI MUSOEV
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
1363LF0000XFamily Nurse Practitioner359868NY

General Provider Information

NPI Number : 1912839721
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ELI MUSOEV
Provider Business Mailing Address
First Line : 962 PENINSULA BLVD
Second Line :
City : WOODMERE
State : NY
Zip : 11598-1542
Country : US
Telephone Number : 917-525-7703
Fax Number :
Provider Business Practice Location Address
First Line : 4802 10TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2916
Country : US
Telephone Number : 917-525-7703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ MR. ELI MUSOEV ” Practice Location

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