Individual
DR. NADEZHDA NISIMOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9119 QUEENS BLVD, ELMHURST, NY 11373-5531
(347) 295-1605
Mailing address
9119 QUEENS BLVD, ELMHURST, NY 11373-5531
(347) 295-1605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007898
NY
Other
Enumeration date
07/26/2012
Last updated
11/03/2023
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