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General NPI Number Information
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NPI Number | 1205721776
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Entity Type | Organization
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Legal Business Name | HILLCREST FAMILY HEALTH NP SERVICES PLLC
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 10/26/2025
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Provider Practice Location Address
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Address Line | 8206 168TH ST
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City | JAMAICA
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State | NY
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Zip | 11432-1327
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Country | US
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Telephone | 718-354-9211
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Fax | 718-591-0901
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Provider Business Mailing Address
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Address Line | 8206 168TH ST
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City | JAMAICA
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State | NY
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Zip | 11432-1327
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Country | US
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Telephone | 718-354-9211
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Fax | 718-591-0901
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Authorized Official
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Title or Position | MANAGER
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Name | ELONNA KRAVETS
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Credential | FNP
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Telephone | 917-868-0006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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