Individual
POLINA MALAYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76-05 51 AVENUE, ELLMHURST, NY 11373
(646) 235-4412
Mailing address
7605 51ST AVE, ELMHURST, NY 11373-4136
(646) 235-4412
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
517335-1
NY
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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