Individual
MARIYA SHIMONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP - BC
Contact information
Practice address
165 BROADWAY FL 23, NEW YORK, NY 10006-1452
(888) 731-8994
Mailing address
165 BROADWAY FL 23, NEW YORK, NY 10006-1452
(888) 731-8994
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F421388-01
NY
Other
Enumeration date
08/01/2019
Last updated
04/16/2026
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