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1265988778
ALEXANDER NIYAZOV
BROOKLYN, NY
NPI
1265988778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-08-26
Last Update Date
2021-05-12
Business Address
ALEXANDER NIYAZOV PA
2277-83 CONEY ISLAND AVE
BROOKLYN, NY 11223
Phone number: 212-305-2500
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Mailing Address
ALEXANDER NIYAZOV PA
2277 CONEY ISLAND AVE STE 2A
BROOKLYN, NY 11223-3337
Phone number: 718-998-9890
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