Individual
ELINA DAVIDOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, CEN
Contact information
Practice address
5520 13TH AVE, BROOKLYN, NY 11219-4587
(718) 851-3000
Mailing address
5520 15TH AVE APT 6H, BROOKLYN, NY 11219-4312
(347) 423-8894
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
674091-1
NY
363LF0000X
Family Nurse Practitioner
Primary
350625
NY
Other
Enumeration date
02/05/2014
Last updated
10/26/2022
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