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Ellada Mardukhayeva

NPI 1750105888 · on the registry since 2024 · sole proprietor

Practice

Address
2212 Plumb 1st St Apt 6e
Brooklyn, NY 11229
Phone
(646) 773-4022
Clinicians at this address
2

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York