Individual
EKATERINA KIMATOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15323 76TH RD, FLUSHING, NY 11367-3122
(347) 761-1885
Mailing address
15323 76TH RD, FLUSHING, NY 11367-3122
(347) 761-1885
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
639241
NY
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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