Provider Demographics
NPI:1851988281
Name:KAZIYEVA, ESTER (RN)
Entity Type:Individual
Prefix:
First Name:ESTER
Middle Name:
Last Name:KAZIYEVA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10240 62ND AVE APT 3N
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-1031
Mailing Address - Country:US
Mailing Address - Phone:347-413-3829
Mailing Address - Fax:
Practice Address - Street 1:10240 62ND AVE APT 3N
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-1031
Practice Address - Country:US
Practice Address - Phone:347-413-3829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY799251-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWG23587QMedicaid