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General NPI Number Information
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NPI Number | 1043897911
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Entity Type | Organization
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Legal Business Name | NYC FAMILY HEALTH NP PC
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 03/26/2021
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Provider Practice Location Address
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Address Line | 5321 FLATLANDS AVE
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City | BROOKLYN
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State | NY
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Zip | 11234-2322
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Country | US
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Telephone | 718-517-2244
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Fax | 718-517-2242
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Provider Business Mailing Address
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Address Line | 2355 E 12TH ST APT 2G
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City | BROOKLYN
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State | NY
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Zip | 11229-4224
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Country | US
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Telephone | 718-517-2244
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Fax | 718-517-2242
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Authorized Official
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Title or Position | OWNER
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Name | YANA RYZHAKOVA
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Credential | NP
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Telephone | 646-696-1150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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