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Individual

ELEANOR NISIMOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
35 N TYSON AVE, FLORAL PARK, NY 11001-1403
(347) 567-4134
Mailing address
14130 84TH RD APT 1G, JAMAICA, NY 11435-1930
(347) 567-4134

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
357102
NY

Other

Enumeration date
08/29/2022
Last updated
12/11/2025
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