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General NPI Number Information
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NPI Number | 1033576863
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Entity Type | Individual
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Provider Name | YANA RYZHAKOVA NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 01/25/2016
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 4050 NOSTRAND AVE STE 1M
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City | BROOKLYN
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State | NY
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Zip | 11235-2250
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Country | US
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Telephone | 347-450-6040
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Fax | 201-221-8073
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Provider Business Mailing Address
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Address Line | 4207 ATLANTIC AVE # 1B
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City | BROOKLYN
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State | NY
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Zip | 11224-1023
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Country | US
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Telephone | 646-696-1150
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 340277
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 340277
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 340277
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | 340277
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 340277
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 340277
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 340277
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License Number State | NY
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