MEDICARE: EIND NP IN ADULT HEALTH, P.C.

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	363LA2200X	Adult Health Nurse Practitioner	306822	NY

General Provider Information

NPI Number	:	1598161812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EIND NP IN ADULT HEALTH, P.C.

Provider Business Mailing Address
First Line	:	15 W END AVE APT 5A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2335
Country	:	US
Telephone Number	:	646-409-6235
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 W END AVE APT 5A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2335
Country	:	US
Telephone Number	:	646-409-6235
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ILONA KURPAKOV
Credential	:	NP
Telephone Number	:	646-409-6235

Provider Enumeration Date	:	11/13/2014
Last Update Date	:	06/09/2026

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