Individual provider · Type 1 NPI

Kamol Usmonov

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

NPI number 1679375786 Active

Practice location

506 6th St
Brooklyn, NY 11215-3609

Call (718) 780-3000 Map

Mailing address

100 Woods Rd
Valhalla, NY 10595-1530

Other practice locations

  • 100 Woods Rd, Valhalla, NY 10595-1530 · (914) 493-7000

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 1679375786

Kamol Usmonov's National Provider Identifier is 1679375786, issued on Mar 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 28, 2026.