Provider Demographics
NPI:1538764063
Name:NARZULLAEVA, DILNOZA (MS)
Entity type:Individual
Prefix:
First Name:DILNOZA
Middle Name:
Last Name:NARZULLAEVA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2157 83RD ST FL 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-2598
Mailing Address - Country:US
Mailing Address - Phone:646-267-7594
Mailing Address - Fax:
Practice Address - Street 1:2157 83RD ST FL 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-2598
Practice Address - Country:US
Practice Address - Phone:646-267-7594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCERTIFIED174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist