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Individual

ELINA GAVRIELOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7531 190TH STREET, FRESH MEADOWS, NY 11366
(718) 629-8475
Mailing address
210 174TH ST APT 608, SUNNY ISLES BEACH, FL 33160-3337
(719) 629-8475

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11017115
FL
364SE0003X
Emergency Clinical Nurse Specialist
F382586-1
NY

Other

Enumeration date
02/02/2017
Last updated
11/15/2023
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