Individual provider · Type 1 NPI

Gabriel Hafisov

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

NPI number 1144987090 Active

Practice location

82-68 164th Street
Jamaica, NY 11432

Call (718) 883-3000 Map

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 1144987090

Gabriel Hafisov's National Provider Identifier is 1144987090, issued on Nov 25, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jamaica, NY. The record was last updated on Jul 11, 2023.