Individual
MARINA ELNATANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14431 72ND DR, FLUSHING, NY 11367-2403
(917) 318-6876
Mailing address
14431 72ND DR, FLUSHING, NY 11367-2403
(917) 318-6876
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F349268-01
NY
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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