Individual
NELLI YAKUBOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
990 STEWART AVE, GARDEN CITY, NY 11530-4822
(855) 270-1600
Mailing address
990 STEWART AVE, GARDEN CITY, NY 11530-4822
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311778
NY
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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