Family Health Nurse Practitioner Home Visits PC
NPI #1083942544 in Queens Village, New York
Provider Information
- NPI Number
- 1083942544
- Entity Type
- Organization
- Organization Name
- Family Health Nurse Practitioner Home Visits PC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Nov 21, 2009
- Last Updated
- Jan 12, 2016
Practice Location
- Address
- 9605 220TH ST
- City
- Queens Village
- State
- New York
- ZIP Code
- 11429-1347
- Phone
- (646) 201-8985
Authorized Official
- Name
- MR. ALEXANDER KOTOV, NP
- Title
- MEDICAL DIRECTOR
- Phone
- (646) 201-8985
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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