Individual
BERTA AMINOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7348 187TH ST, FRESH MEADOWS, NY 11366-1724
(646) 286-8657
Mailing address
7348 187TH ST, FRESH MEADOWS, NY 11366-1724
(646) 286-8657
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F34918201
NY
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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