Healthcare Provider Details

I. General information

NPI: 1477800332
Provider Name (Legal Business Name): VERONICA KLIPACH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VERONICA ARANBAYEV RN

II. Dates (important events)

Enumeration Date: 08/10/2012
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date: 05/23/2019
Reactivation Date: 11/14/2025

III. Provider practice location address

99 MADISON AVE
NEW YORK NY
10016-7419
US

IV. Provider business mailing address

99 MADISON AVE
NEW YORK NY
10016-7419
US

V. Phone/Fax

Practice location:
  • Phone: 347-809-1517
  • Fax:
Mailing address:
  • Phone: 347-809-1517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF358644-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: