Individual
MS. ANASTASIYA B SKOROBOGATOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
620 REISS PL APT 6K, BRONX, NY 10467-8062
(917) 573-7789
Mailing address
620 REISS PL APT 6K, BRONX, NY 10467-8062
(917) 573-7789
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
421392
NY
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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