| Nuface Medical Spa | |
|
22215 Northern Blvd Lbby A Bayside NY 11361-3603 | |
| (718) 215-0020 | |
| (616) 226-4785 |
| Full Name | Nuface Medical Spa |
|---|---|
| Speciality | Internal Medicine |
| Location | 22215 Northern Blvd Lbby A, Bayside, New York |
| Authorized Official Name and Position | Elina Yushuvayev (ATTENDING) |
| Authorized Official Contact | 7182150020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nuface Medical Spa 22215 Northern Blvd Ste Lobbya Bayside NY 11361-3678 Ph: (718) 215-0020 | Nuface Medical Spa 22215 Northern Blvd Lbby A Bayside NY 11361-3603 Ph: (718) 215-0020 |
| NPI Number | 1114547767 |
|---|---|
| Provider Enumeration Date | 04/23/2020 |
| Last Update Date | 11/12/2020 |
| Medicare PECOS PAC ID | 7315359718 |
|---|---|
| Medicare Enrollment ID | O20201208003010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114547767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Elina Yushuvayev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093002339 PECOS PAC ID: 3577829266 Enrollment ID: I20171114000159 |
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