Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | N006289 | NY |
Y | 213ES0131X | Foot Surgery | N006289 | NY |
NPI | 1245476977 |
---|---|
Provider Name | Dr. Julia Muradov |
First Address | Staten Island, NY 10304-1349 |
Second Address | Staten Island, NY 10306-4924 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2008 |
Last Update Date | 06/03/2020 |