Individual
OLENA NOSARYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2895 ANDERSON ST, WANTAGH, NY 11793-2327
(631) 355-6502
Mailing address
2895 ANDERSON ST, WANTAGH, NY 11793-2327
(631) 355-6502
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
655012
NY
Other
Enumeration date
12/11/2023
Last updated
01/16/2024
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