Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | F309320-01 | NY |
NPI | 1023669140 |
---|---|
Provider Name | Dinara Abubakirova |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10032-3729 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2019 |
Last Update Date | 31/01/2020 |