Individual provider · Type 1 NPI

Mazol Kholdarova, M.S.

Specialist · Queens, NY

NPI number 1588097802 Active

Practice location

159 - 16 Union Turnpike Suite 308
Queens, NY 11366

Fax (718) 263-5444

Mailing address

9805 63rd Rd Apt 10H
Rego Park, NY 11374-1722

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1370334 (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 1588097802

Mazol Kholdarova, M.S.'s National Provider Identifier is 1588097802, issued on Aug 11, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Queens, NY. The record was last updated on Jul 29, 2014.