Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Sholomo Mirzakandov

Individual provider Family Nurse Practitioner · NPI 1861301087

Sholomo Mirzakandov is a Family Nurse Practitioner in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

4711 12th Ave Apt F11
Brooklyn, NY 11219-2532
Phone: (164) 698-2875
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F358829 (NY)

Record details

NPI number1861301087
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 3, 2026
Last updated in NPPESSeptember 3, 2026
Certification dateSeptember 3, 2026

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