Individual
INNA GAIDAMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 BROAD ST, NEW YORK, NY 10004-2501
(718) 391-0611
Mailing address
8602 FOREST PKWY, APT 1-B, WOODHAVEN, NY 11421-1125
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
7272827
NY
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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