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Organization

KATERINA SAFONOVA NP ADULT HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATERINA SAFONOVA NP, PMHNP (OWNER)
(917) 538-8914
Entity
Organization

Contact information

Practice address
2401 BRIGHAM ST FL 2, BROOKLYN, NY 11235-1003
(917) 538-8914
Mailing address
2401 BRIGHAM ST FL 2, BROOKLYN, NY 11235-1003
(917) 538-8914

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
363LA2100X
Acute Care Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
10/13/2025
Last updated
10/13/2025
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