TARA ROSE NIZAMOV

MOUNT VERNON, NY
NPI1558179093
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  032848)
Enumeration Date2024-12-30
Last Update Date2025-06-08
Business Address
TARA ROSE NIZAMOV Physician Assistant
12 N 7TH AVE
MOUNT VERNON, NY 10550-2026
Phone number: 917-557-9895
Mailing Address
TARA ROSE NIZAMOV Physician Assistant
12 N 7TH AVE
MOUNT VERNON, NY 10550-2026
Phone number: 914-261-7448
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