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Individual

LYUBOV IZYAYEVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2195 E 22ND ST, #1C, BROOKLYN, NY 11229-3602
(718) 648-4545
(718) 648-7788
Mailing address
2195 E 22ND ST, #1C, BROOKLYN, NY 11229-3602
(718) 648-4545
(718) 648-7788

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305307-1
NY

Other

Enumeration date
06/22/2010
Last updated
06/22/2010
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