Individual
ANGELA KAKURIYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8002 KEW GARDENS RD STE 107, KEW GARDENS, NY 11415-3600
(718) 459-0900
Mailing address
15055 78TH RD, FLUSHING, NY 11367-3539
(917) 887-0049
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
349434
NY
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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