Individual
DONNA MAVASHEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7009 AUSTIN ST STE 203, FOREST HILLS, NY 11375-1012
(347) 322-2057
Mailing address
8060 211TH ST, QUEENS VILLAGE, NY 11427-1013
(347) 322-2057
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
351263
NY
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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