Individual
ALINA BOSHAKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
126 CORBIN PL, BROOKLYN, NY 11235-4811
(347) 729-5904
Mailing address
126 CORBIN PL, BROOKLYN, NY 11235-4811
(347) 729-5904
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
569215
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F306361
NY
363LG0600X
Gerontology Nurse Practitioner
F340890
NY
Other
Enumeration date
08/10/2010
Last updated
12/20/2013
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