MEDICARE: MRS. SVETLANA SAKIRSKY NP

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	363LP2300X	Primary Care Nurse Practitioner	334370	NY
2	363LF0000X	Family Nurse Practitioner	F334370	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	F3343701	OTHER	NY	NEW LICENSE
2	F408300	OTHER	NY	NYS

General Provider Information

NPI Number	:	1548424526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SVETLANA SAKIRSKY NP

Provider Business Mailing Address
First Line	:	3412 36TH ST
Second Line	:	SUITE 220
City	:	ASTORIA
State	:	NY
Zip	:	11106-1200
Country	:	US
Telephone Number	:	718-391-0611
Fax Number	:	347-761-3196

Provider Business Practice Location Address
First Line	:	3412 36TH ST
Second Line	:	SUITE 220
City	:	ASTORIA
State	:	NY
Zip	:	11106-1200
Country	:	US
Telephone Number	:	718-391-0611
Fax Number	:	347-761-3196

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

Provider Enumeration Date	:	07/18/2008
Last Update Date	:	05/22/2026

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