SOFIA TOFIGA GAMIDOVA


Address: 1961 Coney Island Ave, Brooklyn, NY 11223-2328
Phone: 7183396425

SOFIA TOFIGA GAMIDOVA (NPI# 1326481276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326481276
Entity Type Individual
Full Name SOFIA TOFIGA GAMIDOVA
Other Name TOFIGA SOFIA GAMIDOVA
Credential APN-C
Practice Address 1961 Coney Island Ave
Brooklyn
NY 11223-2328
Mailing Address 2970 Ocean Ave
Apt G5
Brooklyn
NY 11235-3276
Practice Telephone 7183396425
Enumeration Date 2013-04-10
Last Update Date 2017-08-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
F306399 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1961 CONEY ISLAND AVE
City BROOKLYN
State NY
Zip Code 11223-2328

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316234669 Sea Gate Medical Family Medicine 1961 Coney Island Ave, Brooklyn, NY 11223-2328 2011-07-07

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1487264008 Dina Levkova Nurse Practitioner 303 Webster Ave Apt 2f, Brooklyn, NY 11230-1256 2020-08-07
1972113694 Winsome Elizabeth Benain Nurse Practitioner 9621 Avenue B, Brooklyn, NY 11236-1321 2020-08-06
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Competitor

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City BROOKLYN
Zip Code 11223

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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