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NPI Code Detail

MEDICARE: SVETLANA GOLUB RN

MEDICARE: SVETLANA GOLUB RN
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
1163W00000XRegistered Nurse598628NY

General Provider Information

NPI Number : 1982843686
Entity Type Code : Individual
Provider Name (Legal Business Name) : SVETLANA GOLUB RN
Provider Business Mailing Address
First Line : 8635 21ST AVE APT 5V
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-4029
Country : US
Telephone Number : 718-376-1004
Fax Number : 718-382-6836
Provider Business Practice Location Address
First Line : 1300 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1106
Country : US
Telephone Number : 718-954-3800
Fax Number : 718-954-3767
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2009
Last Update Date : 02/20/2009

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