Provider Demographics
NPI:1457147514
Name:PERIZAT ADYLBEKOVA
Entity type:Organization
Organization Name:PERIZAT ADYLBEKOVA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:PERIZAT
Authorized Official - Middle Name:
Authorized Official - Last Name:ADYLBEKOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-320-0303
Mailing Address - Street 1:6580 E MCDOWELL RD UNIT 2242
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-0029
Mailing Address - Country:US
Mailing Address - Phone:716-320-0303
Mailing Address - Fax:
Practice Address - Street 1:11 ROBIN RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-1115
Practice Address - Country:US
Practice Address - Phone:716-320-0303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty