Individual
MIRENA NIKOLOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
234 E 149TH ST # 326, BRONX, NY 10451-5504
(718) 579-5000
Mailing address
6225 WOODHAVEN BLVD APT 1B, REGO PARK, NY 11374-2709
(347) 576-3131
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308782
NY
Other
Enumeration date
07/10/2012
Last updated
05/24/2023
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