Individual
KRASIMIR KOLEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
2928 DITMARS BLVD, ASTORIA, NY 11105-2731
(718) 545-1620
Mailing address
3046 45TH ST APT 1F, ASTORIA, NY 11103-1818
(917) 849-9331
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308495-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05154898
—
NY
Enumeration date
12/05/2017
Last updated
05/22/2023
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