Individual provider · Type 1 NPI

Elzar Matmusaeva, MD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1124879606 Active

Practice location

1650 Grand Concourse
Bronx, NY 10457-7697

Call (718) 901-8203 Map

Fax (718) 901-8704

Mailing address

33 Plaza Ter Apt G15
Hamden, CT 06514-2270

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124879606

Elzar Matmusaeva, MD's National Provider Identifier is 1124879606, issued on Apr 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Apr 1, 2024.