Provider Demographics
NPI:1972257608
Name:ANARKULOVA, MEHRANGIZ
Entity type:Individual
Prefix:
First Name:MEHRANGIZ
Middle Name:
Last Name:ANARKULOVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15722 81ST ST APT 1FL
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-2641
Mailing Address - Country:US
Mailing Address - Phone:347-206-2082
Mailing Address - Fax:
Practice Address - Street 1:15722 81ST ST APT 1FL
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-2641
Practice Address - Country:US
Practice Address - Phone:347-206-2082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-10
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator