TIMUR MUSHEKOV

BRONX, NY
NPI1245563485
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy282N00000X General Acute Care Hospital
(Licence: NY  006730-1)
Additional Taxonomies363AM0700X Physician Assistant Medical
(Licence: NY  006730-1)
Enumeration Date2009-09-04
Last Update Date2009-09-21
Business Address
TIMUR MUSHEKOV PA
600 E 233RD ST
BRONX, NY 10466-2604
Phone number: 718-920-9826
Mailing Address
TIMUR MUSHEKOV PA
9211 101ST AVE APT 2F
OZONE PARK, NY 11416-2319
Phone number: 917-628-7062