Individual provider · Type 1 NPI
Julie Alexa Niyazov
Specialist · Fresh Meadows, NY
NPI number
1003166174
Active
Practice location
75-04 171 Street
Fresh Meadows, NY 11366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 659121121 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1003166174
Julie Alexa Niyazov's National Provider Identifier is 1003166174, issued on Sep 14, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Sep 14, 2012.