Organization
IADGAR NP IN ADULT HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEANARA IADGAROVA NP (OWNER)
(646) 552-4010
Entity
Organization
Contact information
Practice address
9732 63RD RD, REGO PARK, NY 11374-1639
(646) 552-4010
Mailing address
9732 63RD RD, REGO PARK, NY 11374-1639
(646) 552-4010
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
04/14/2023
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