Individual
MRS. IRINA ZAVULUNOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1249 5TH AVE, NEW YORK, NY 10029-4413
(212) 360-1000
Mailing address
63178 ALDERTON ST, REGO PARK, NY 11374-3946
(718) 757-4087
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305586
NY
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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