Individual
ELLA MIYEROV
Active
Individual
ELLA MIYEROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
659900
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F308678-1
NY
Other
Enumeration date
08/17/2016
Last updated
11/20/2018
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