Individual
NATALYA AGEYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
FIRST AVE AT 16TH ST, NEW YORK, NY 10003
(212) 420-2757
Mailing address
4332 KISSENA BLVD, 9E, FLUSHING, NY 11355-2934
(718) 445-0190
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304294
NY
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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