Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Djurabek Ismatov

Individual provider Community Health Worker · NPI 1295334480

Djurabek Ismatov is a Community Health Worker in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1122 Coney Island Ave Ste A
Brooklyn, NY 11230-2345
Phone: (833) 743-0100
Fax: (718) 744-9774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Educator (primary) Taxonomy 174H00000X · Licence LA1457148 (NY)
Community Health Worker Taxonomy 172V00000X · Licence LA1457148 (NY)

Record details

NPI number1295334480
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 20, 2020
Last updated in NPPESOctober 20, 2020
Certification dateOctober 8, 2020

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