Individual
INESSA INOYATOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6451 CENTRAL AVE, GLENDALE, NY 11385-6258
(718) 456-0960
Mailing address
6309 BOOTH ST, REGO PARK, NY 11374-2029
(718) 902-9225
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310496
NY
Other
Enumeration date
01/30/2023
Last updated
12/22/2024
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