Active NPIIndividual provider

Elzar Matmusaeva, MD

Student in an Organized Health Care Education/Training Program in Bronx, New York

NPI Number1124879606
Practice location
1650 Grand Concourse, Bronx, NY 10457-7697
Fax
718-901-8704
Last updated
April 1, 2024

Elzar Matmusaeva is a Student in an Organized Health Care Education/Training Program based in Bronx, NY. Elzar Matmusaeva practices in Bronx, NY and has the professional credentials of MD. The NPI Number for Elzar Matmusaeva is 1124879606. The current practice location address for Elzar Matmusaeva is 1650 Grand Concourse, Bronx, NY 10457-7697 and can be reached out via phone at 718-901-8203 and via fax at 718-901-8704.

Provider Profile Details

NPI Number
1124879606
Provider Name
Elzar Matmusaeva
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1650 Grand Concourse, Bronx, NY 10457-7697
Phone Number
718-901-8203
Fax Number
718-901-8704
Sole Proprietor
No
Provider Enumeration Date
April 1, 2024
Last Update Date
April 1, 2024
Certification Date
April 1, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1650 Grand Concourse
Bronx, NY 10457-7697
City
Bronx
Zip
10457-7697
Phone Number
718-901-8203
Fax Number
718-901-8704
Bronx, NY 10457Get directions →

Provider Business Mailing Address Details

Address
33 Plaza Ter Apt G15
Hamden, CT 06514-2270
City
Hamden
State
CT
Zip
06514-2270
Phone Number
224-899-3574

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elzar Matmusaeva, MD?

The NPI number of Elzar Matmusaeva, MD is 1124879606. It was assigned on April 1, 2024 and is currently active in the NPPES registry.

What is the specialty of Elzar Matmusaeva, MD?

Elzar Matmusaeva, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Elzar Matmusaeva, MD practice?

The practice location is 1650 Grand Concourse, Bronx, NY 10457-7697. The office can be reached at 718-901-8203 (phone) or 718-901-8704 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124879606 directly on the NPPES registry website.

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