Individual
NADEJDA LAVRINENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
500 W 57TH ST, NEW YORK, NY 10019-2902
(212) 293-3000
Mailing address
2604 MADALINE DR, AVENEL, NJ 07001-1366
(732) 512-7175
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
629426
NY
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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