Individual
BURKHO BELLA SHIMUNOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3129 60TH ST, WOODSIDE, NY 11377-1220
(718) 487-9857
Mailing address
3129 60TH ST, WOODSIDE, NY 11377-1220
(718) 487-9857
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
520330-1
NY
Other
Enumeration date
02/28/2014
Last updated
03/06/2014
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