Individual
YULIYA SHAULOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R. N.
Contact information
Practice address
9131 QUEENS BLVD, SUITE 604, ELMHURST, NY 11373-5555
(718) 779-7000
Mailing address
14747 78TH RD, FLUSHING, NY 11367-3535
(718) 969-2474
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
586532
NY
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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