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Individual

MAXIM ARISOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1496
(718) 470-7000
Mailing address
1680 E 22ND ST APT 406, BROOKLYN, NY 11229-1540

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311366
NY

Other

Enumeration date
08/15/2023
Last updated
08/15/2023
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