NPI 1003160540

Alla Gadiyeva, NURSE

Practitioner Substance Use Disorder Rehabilitation Clinic/Center New York, NY

Practice location

Address: 500 West 57th Street, New York, NY 10019
Phone: (212) 293-3000
Fax: (212) 292-8038
Mailing address: 240 Ocean Pkwy APT 4c, Brooklyn, NY 11218-3258

Registered specialties

Substance Use Disorder Rehabilitation Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0405X Licence 655466-1 (NY)

Other Clinic/Center providers in New York →

Registry record

NPI: 1003160540
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Nov 2012
Record last updated: 6 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.