Individual
BERTA KHOLDAROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
560 NORTHERN BLVD STE 104, GREAT NECK, NY 11021-5100
(718) 444-8014
Mailing address
560 NORTHERN BLVD STE 104, GREAT NECK, NY 11021-5100
(718) 444-8014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F356828-01
NY
Other
Enumeration date
10/10/2025
Last updated
02/26/2026
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