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Organization
QUEENS NP IN ADULT HEALTH AND NP IN FAMILY HEALTH PLLC
Active
Organization
QUEENS NP IN ADULT HEALTH AND NP IN FAMILY HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURI SHIMONOV NP (OWNER)
(718) 255-3346
Entity
Organization
Contact information
Practice address
6333 98TH PL APT 8Q, REGO PARK, NY 11374-2322
(347) 653-4872
Mailing address
6519 BORDEN AVE, MASPETH, NY 11378-1630
(718) 255-3346
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
08/25/2025
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