Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 307168 | NY |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 402846 | NY |
NPI | 1023408416 |
---|---|
Provider Name | Aliya Bekbolatova |
First Address | Brooklyn, NY 11206-5317 |
Second Address | Brooklyn, NY 11206-5317 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2015 |
Last Update Date | 08/06/2020 |