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Organization
PRN PC
Active
Organization
PRN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YANA RYZHAKOVA (OWNER)
(347) 450-6040
Entity
Organization
Contact information
Practice address
4050 NOSTRAND AVE STE 1M, BROOKLYN, NY 11235-2250
(347) 450-6040
(201) 221-8073
Mailing address
2355 E 12TH ST APT 2G, BROOKLYN, NY 11229-4224
(646) 696-1150
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
340277
NY
Other
Enumeration date
02/09/2016
Last updated
12/12/2024
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