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Organization

EIND NP IN ADULT HEALTH, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ILONA KURPAKOV NP (PRESIDENT)
(646) 409-6235
Entity
Organization

Contact information

Practice address
15 W END AVE APT 8A, BROOKLYN, NY 11235-4812
(646) 409-6235
Mailing address
15 W END AVE APT 8A, BROOKLYN, NY 11235-4812
(646) 409-6235

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306822
NY

Other

Enumeration date
11/13/2014
Last updated
09/12/2023
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