Individual
ESTHER MAVLYANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1104
(718) 883-3000
Mailing address
8268 164TH ST, JAMAICA, NY 11432-1104
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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