Individual
GALIA BAGDASAROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2079 LAWRY LN, MERRICK, NY 11566-5317
(516) 851-0817
Mailing address
2079 LAWRY LN, MERRICK, NY 11566-5317
(516) 851-0817
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
343201
NY
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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