MEDICARE: MS. DARYANA ARONOVA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	009605	NY

General Provider Information

NPI Number	:	1073654695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DARYANA ARONOVA

Provider Business Mailing Address
First Line	:	7901 BROADWAY
Second Line	:
City	:	ELMHURST
State	:	NY
Zip	:	11373-1329
Country	:	US
Telephone Number	:	718-261-8881
Fax Number	:	718-261-8889

Provider Business Practice Location Address
First Line	:	10124 QUEENS BLVD STE A
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-2703
Country	:	US
Telephone Number	:	718-261-8881
Fax Number	:	718-261-8889

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	03/21/2016

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