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General NPI Number Information
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NPI Number | 1831025733
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Entity Type | Organization
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Legal Business Name | WY NP IN FAMILY HEALTH PC
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Dates
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Enumeration Date | 06/19/2026
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Last Update Date | 06/19/2026
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Provider Practice Location Address
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Address Line | 38-25 PARSONS BLVE 1G
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City | FLUSHING
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State | NY
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Zip | 11354
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Country | US
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Telephone | 718-353-4100
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Fax | 718-939-5500
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Provider Business Mailing Address
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Address Line | 38-25 PARSONS BLVE 1G
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City | FLUSHING
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State | NY
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Zip | 11354
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Country | US
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Telephone | 718-353-4100
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Fax | 718-939-5500
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Authorized Official
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Title or Position | NURSE PRACTIONER
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Name | YEON J ELEBIARY
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Credential | NP
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Telephone | 646-417-4905
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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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