Individual
VERA VINOGRADOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2690 FORD ST FL 2, BROOKLYN, NY 11235-1307
(347) 575-4649
Mailing address
2690 FORD ST FL 2, BROOKLYN, NY 11235-1307
(347) 575-4649
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
707558
NY
163WE0003X
Emergency Registered Nurse
707558
NY
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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