Individual provider · Type 1 NPI
Vyacheslav Dabakarov
Family Nurse Practitioner · Fresh Meadows, NY
NPI number
1306477955
Active
Practice location
7315 194th St
Fresh Meadows, NY 11366-1835
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 345472 (NY) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1306477955
Vyacheslav Dabakarov's National Provider Identifier is 1306477955, issued on Feb 3, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Feb 6, 2020.