Individual provider · Type 1 NPI

Dinah Nurilov, PA

Medical Physician Assistant · Hollis, NY

NPI number 1174965396 Active

Practice location

9160 193rd St, Apt 3D
Hollis, NY 11423-3549

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XP82289 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1174965396

Dinah Nurilov, PA's National Provider Identifier is 1174965396, issued on Jul 30, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hollis, NY. The record was last updated on Jun 18, 2025.