Individual
ANNA KOLESOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7000
Mailing address
270-5 76TH AVE, NEW HYDE PARK, NY 11040
(718) 470-7000
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F421788-01
NY
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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