Individual
ELVIRA YEVDAYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1301 57TH ST, BROOKLYN, NY 11219-4636
(718) 283-3640
Mailing address
825 OCEAN PKWY APT 4J, BROOKLYN, NY 11230-2721
(917) 455-5845
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383448-01
NY
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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