Individual
RUZANNA GAVRIYELOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, AGNP
Contact information
Practice address
7224 KISSENA BLVD, FLUSHING, NY 11367-2729
(718) 570-2071
Mailing address
10212 63RD AVE, FOREST HILLS, NY 11375-1046
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F30932301
NY
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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