Individual
NELLYA KIKIROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10701 OTIS AVE, CORONA, NY 11368-3915
(917) 995-2060
Mailing address
7561 186TH ST, FRESH MEADOWS, NY 11366-1721
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
657478
NY
Other
Enumeration date
10/01/2017
Last updated
10/01/2017
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