Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | X013082 | NY |
NPI | 1003305194 |
---|---|
Provider Name | Dr. Majlinda Avdiu |
First Address | Staten Island, NY 10312-6425 |
Second Address | New York, NY 10019-1752 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2018 |
Last Update Date | 04/05/2018 |