NPI 1578195251

Asal Gudimova, NEMT

Practitioner Prevention Professional Brooklyn, NY

Practice location

Address: 2705 Coney Island Ave, Brooklyn, NY 11235-5004
Phone: (929) 888-9092

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 3393823 (NY)

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Registry record

NPI: 1578195251
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Feb 2020
Record last updated: 10 Feb 2020

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.