Individual
MOISEY SIMKHAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4047 95TH ST APT B, ELMHURST, NY 11373
(646) 559-6699
Mailing address
4047 95TH ST APT B, ELMHURST, NY 11373-1715
(646) 559-6699
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307403
NY
Other
Enumeration date
08/13/2015
Last updated
07/20/2018
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