Individual
MARIA BANGIEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10407 METROPOLITAN AVE, FOREST HILLS, NY 11375-6735
(718) 576-4652
(516) 710-7846
Mailing address
PO BOX 801280, KANSAS CITY, MO 64180-1280
(718) 576-4652
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
662732
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F309703
NY
Other
Enumeration date
08/18/2015
Last updated
05/10/2022
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