| NPI Details | |
|---|---|
| NPI | 1619115763 |
| Gender | Female |
| Enumeration Date | 01/28/2009 |
| Last Updated | 10/10/2011 |
| Entity Type | Individual |
| Active | Over 9 years ago |
| Practice Location | |
|---|---|
| 9710 63RD RD REGO PARK NY, 11374-1639, US |
|
| Phone | (718) 896-2484 |
| Fax | |
| Business Location | |
|---|---|
| 9710 63RD RD REGO PARK NY, 11374-1639, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 183500000X |
| License State | New York |
| License Number | 052960 |
| Remove 1619115763 NPI Number | |
According to our database, Mariya Ibragimova NPI is 1619115763, taxonomy code is 183500000X and license number is 052960, license state is located at New York. Mariya Ibragimova physically located at 9710 63rd Rd, Rego Park NY, 11374-1639. NPI Number Mariya Ibragimova has the Individual type.
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1619115763 NPI number is provided on an as is basis without warranty of any kind. 1619115763 is maintained by the National Plan & Provider Enumeration System. The contents of Mariya Ibragimova are for informational purposes only.
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