Organization
KEI ACUTE CARE NP SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATTALINA ISAKOV (OWNER)
(347) 886-1583
Entity
Organization
Contact information
Practice address
6712 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-2353
(347) 886-1583
Mailing address
6712 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-2353
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
06/19/2022
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