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NPI Code Detail

MEDICARE: NAZIRA KARIMOVA

MEDICARE: NAZIRA KARIMOVA
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
1174400000XSpecialist

General Provider Information

NPI Number : 1972436343
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAZIRA KARIMOVA
Provider Business Mailing Address
First Line : 624 DRUMGOOLE RD E
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-3308
Country : US
Telephone Number : 917-907-4703
Fax Number :
Provider Business Practice Location Address
First Line : 624 DRUMGOOLE RD E
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-3308
Country : US
Telephone Number : 917-907-4703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ NAZIRA KARIMOVA ” Practice Location

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