Yelena Gavrilova

NPI #1245605021 in Rego Park, New York

Provider Information

NPI Number: 1245605021
Entity Type: Individual
Name: Yelena Gavrilova
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Dec 5, 2015
Last Updated: Dec 5, 2015

Practice Location

Address: 9952 64TH RD
City: Rego Park
State: New York
ZIP Code: 11374-2646
Phone: (718) 839-3651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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