Provider Demographics
NPI:1992563829
Name:NAZAROV, TOYLIMURAD (DC)
Entity type:Individual
Prefix:DR
First Name:TOYLIMURAD
Middle Name:
Last Name:NAZAROV
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:N/A
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1111 E 15TH ST APT 1E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4849
Mailing Address - Country:US
Mailing Address - Phone:347-522-9499
Mailing Address - Fax:
Practice Address - Street 1:430 79TH ST FL 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3708
Practice Address - Country:US
Practice Address - Phone:718-748-6644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX01376301111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor