MEDICARE: ALLA NOGINSKY 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	171100000X	Acupuncturist	002068-1	NY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	402674	NY

General Provider Information

NPI Number	:	1952559700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLA NOGINSKY NP

Provider Business Mailing Address
First Line	:	2524 AVENUE Y
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2423
Country	:	US
Telephone Number	:	718-712-3355
Fax Number	:

Provider Business Practice Location Address
First Line	:	2524 AVENUE Y
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2423
Country	:	US
Telephone Number	:	347-563-2313
Fax Number	:

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

Provider Enumeration Date	:	09/05/2008
Last Update Date	:	04/07/2023

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