Individual
MICHELE TAMARA AKILOVA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
72 GUY LOMBARDO AVE STE 2, FREEPORT, NY 11520-3742
(516) 226-3615
Mailing address
72 GUY LOMBARDO AVE # FREEPORT, FREEPORT, NY 11520-3742
(516) 226-3615
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
91075701
NY
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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