Most Relevant Information
Provider Data
| NPI Number: | 1003416769 |
| Provider Name: | MASHHURA ROFIEVA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/30/2020 |
| Last Updated: | 10/30/2020 |
Provider Practice Location
1733 SHEEPSHEAD BAY RD STE 16
BROOKLYN
NY
112353743
Practice Location Phone/Fax
| Phone: | 3478012550 |
| Fax: | 3472520220 |
Provider Mailing Location
1733 SHEEPSHEAD BAY RD STE 16
BROOKLYN
NY
112353743
Provider Mailing Phone/Fax
| Phone: | 3472520220 |
| Fax: |