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NPI Code Detail

MEDICARE: FOTIMA DADADJANOVA

MEDICARE: FOTIMA DADADJANOVA
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
1163WH0200XHome Health Registered Nurse805474-01NY

General Provider Information

NPI Number : 1962353839
Entity Type Code : Individual
Provider Name (Legal Business Name) : FOTIMA DADADJANOVA
Provider Business Mailing Address
First Line : 1901 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1342
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3035 W 24TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11224-2114
Country : US
Telephone Number : 718-372-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2026
Last Update Date : 02/06/2026

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Directions to “ FOTIMA DADADJANOVA ” Practice Location

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