Individual
ELINA CHEREPANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11620 QUEENS BLVD, FOREST HILLS, NY 11375-7055
(718) 401-1510
Mailing address
1277 E 14TH ST APT 210C, BROOKLYN, NY 11230-5239
(718) 744-8575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026337
NY
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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