Organization
EVGENIA MAYVALDOV NURSE PRACTITIONER IN GERONTOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVGENIA MAYVALDOV NP (PROVIDER/MEDICAL DIRECTOR)
(516) 661-8352
Entity
Organization
Contact information
Practice address
3377 LONG BEACH RD, OCEANSIDE, NY 11572-5063
(516) 661-8352
Mailing address
3377 LONG BEACH RD, OCEANSIDE, NY 11572-5063
(516) 661-8352
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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