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Organization
GULKAROV FAMILY HEALTH NP PLLC
Active
Organization
GULKAROV FAMILY HEALTH NP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VYACHESLAV GULKAROV (NURSE PRACTITIONER)
(917) 640-4589
Entity
Organization
Contact information
Practice address
4047 95TH ST APT B, ELMHURST, NY 11373-1715
(646) 559-6699
Mailing address
6560 BOOTH ST APT 4D, REGO PARK, NY 11374-4133
(917) 640-4589
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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