Yeseniya Kamynina, NP | |
12046 Queens Blvd, Kew Gardens, NY 11415-1204 | |
(718) 793-3341 | |
(718) 268-1666 |
Full Name | Yeseniya Kamynina |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 12046 Queens Blvd, Kew Gardens, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740789718 | NPI | - | NPPES |
05418997 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | F308549 (New York) | Primary |
Entity Name | Modern Medical Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417258161 PECOS PAC ID: 8224219860 Enrollment ID: O20110302000189 |
Mailing Address | Practice Location Address |
---|---|
Yeseniya Kamynina, NP 97 New Dorp Ln Ste A, Staten Island, NY 10306-2364 Ph: (718) 876-6220 | Yeseniya Kamynina, NP 12046 Queens Blvd, Kew Gardens, NY 11415-1204 Ph: (718) 793-3341 |
Robert Aronov, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12325 82nd Ave Apt 4j, Kew Gardens, NY 11415 Phone: 347-273-3869 | |
Ilyas Aranbayev, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8538 123rd St, Kew Gardens, NY 11415 Phone: 917-828-3474 | |
Angela Kakuriyeva, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8002 Kew Gardens Rd Ste 107, Kew Gardens, NY 11415 Phone: 718-459-0900 | |
Ms. Colette C Lipem, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119-20 Union Turnpike, Kew Gardens, NY 11415 Phone: 212-203-1408 | |
Rimma Davydova, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 82nd Ave, Kew Gardens, NY 11415 Phone: 646-318-1252 |