Viktoriya Suleymanova PA-C

NPI 1053719187 - Physician Assistant - 363AS0400X

NPI Details
NPI 1053719187
Gender Female
Enumeration Date 12/05/2014
Last Updated 12/05/2014
Entity Type Individual
Active Over 1 year ago
Practice Location
100 PORT WASHINGTON BLVD
ROSLYN NY, 11576-1347, US
Phone (516) 562-6000
Fax
Business Location
7925 150TH ST
APT D17
FLUSHING NY, 11367-3812, US
Phone (646) 525-1188
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State New York
License Number 018222
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According to our database, Viktoriya Suleymanova PA-C NPI is 1053719187, taxonomy code is 363AS0400X and license number is 018222, license state is located at New York. Viktoriya Suleymanova PA-C physically located at 100 Port Washington Blvd, Roslyn NY, 11576-1347. NPI Number Viktoriya Suleymanova PA-C has the Individual type.

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1053719187 NPI number is provided on an as is basis without warranty of any kind. 1053719187 is maintained by the National Plan & Provider Enumeration System. The contents of Viktoriya Suleymanova PA-C are for informational purposes only.