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Organization
YS NP IN ADULT HEALTH AND RS NP IN FAMILY HEALTH PLLC
Active
Organization
YS NP IN ADULT HEALTH AND RS NP IN FAMILY HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURI SHIMONOV (OWNER)
(718) 255-3346
Entity
Organization
Contact information
Practice address
6519 BORDEN AVE BSMT, MASPETH, NY 11378-1630
(718) 255-3346
Mailing address
6519 BORDEN AVE BSMT, MASPETH, NY 11378-1630
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
07/28/2025
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