Individual
BERTA YAGUDAYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 OHIO DR STE 101, NEW HYDE PARK, NY 11042-1111
(516) 622-6088
Mailing address
7544 187TH STREET, FRESH MEADOWS, NY 11366
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
353510
NY
Other
Enumeration date
11/13/2024
Last updated
07/22/2025
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