Ea Nurse Practitioner in Adult Health PC
NPI #1194314427 in Lido Beach, New York
Provider Information
- NPI Number
- 1194314427
- Entity Type
- Organization
- Organization Name
- Ea Nurse Practitioner in Adult Health PC
- Primary Specialty
- Nurse Practitioner - Adult Health
- Enumeration Date
- Jan 12, 2021
- Last Updated
- Jan 12, 2021
Practice Location
- Address
- 228 GREENWAY RD
- City
- Lido Beach
- State
- New York
- ZIP Code
- 11561-4829
- Phone
- (718) 288-6075
Authorized Official
- Name
- MRS. OLGA YUSHUVAYEVA, NP-C
- Title
- CEO
- Phone
- (718) 288-6075
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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