Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHOLOMO MIRZAKANDOV
NPI 1861301087
Nurse Practitioner - Family in Brooklyn, NY

Q: What is Sholomo Mirzakandov's NPI number?

The NPI number for Sholomo Mirzakandov is 1861301087. It was assigned to this individual provider in the NPPES registry on September 3, 2026.

Q: What is Sholomo Mirzakandov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 03, 2026

4711 12TH AVE APT F11, BROOKLYN, NY 11219(164) 698-2875 Get Directions Write a Review

NPPES record added: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Sholomo Mirzakandov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOLOMO MIRZAKANDOV (NPI 1861301087) is an individual family provider in Brooklyn, New York, licensed in New York (F358829) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1861301087

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameSHOLOMO MIRZAKANDOV

Location Address4711 12TH AVE APT F11Brooklyn, NY 11219-2532

Mailing Address4711 12th Ave Apt F11Brooklyn, NY 11219-2532 · (646) 982-8755

Phone(164) 698-2875

Sole ProprietorNo

Enumeration DateSeptember 3, 2026

NPPES CertifiedSeptember 3, 2026

✔ NPI 1861301087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F358829

4711 12TH AVE APT F11, Brooklyn, NY 11219

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sholomo Mirzakandov's NPI number?

The NPI number for Sholomo Mirzakandov is 1861301087. It was assigned to this individual provider in the NPPES registry on September 3, 2026.

Where is Sholomo Mirzakandov located?

Sholomo Mirzakandov practices at 4711 12th Ave Apt F11, Brooklyn, NY 11219. The listed phone number is (164) 698-2875.

What is Sholomo Mirzakandov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Sholomo Mirzakandov was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.