Individual
ANGELINA YUSHUVAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
14703 77TH RD, FLUSHING, NY 11367-3428
(917) 859-3721
Mailing address
14703 77TH RD, FLUSHING, NY 11367-3428
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F421434
NY
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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