| Irina Niazova Nurse Practitioner In Adult Health Pc | |
|
9610 Metropolitan Ave Forest Hills NY 11375-6625 | |
| (718) 459-0400 | |
| Not Available |
| Full Name | Irina Niazova Nurse Practitioner In Adult Health Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9610 Metropolitan Ave, Forest Hills, New York |
| Authorized Official Name and Position | Irina Niazova (NP) |
| Authorized Official Contact | 7184590400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irina Niazova Nurse Practitioner In Adult Health Pc 6291 Wetherole St Rego Park NY 11374-1564 Ph: (917) 678-7968 | Irina Niazova Nurse Practitioner In Adult Health Pc 9610 Metropolitan Ave Forest Hills NY 11375-6625 Ph: (718) 459-0400 |
| NPI Number | 1316464936 |
|---|---|
| Provider Enumeration Date | 08/24/2017 |
| Last Update Date | 04/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316464936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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