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Organization
NY FAMILY HEALTH NP SERVICES PC
Active
Organization
NY FAMILY HEALTH NP SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YAKOV NISIMOV FNP (AUTHORIZED OFFICIAL)
(718) 415-5494
Entity
Organization
Contact information
Practice address
6333 98TH PL APT 3C, REGO PARK, NY 11374-2317
(718) 415-5494
Mailing address
7925 150TH ST APT A20, FLUSHING, NY 11367-3803
(718) 415-5494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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