Individual provider · Type 1 NPI
Yadid Nisimov, NP
Adult Health Nurse Practitioner · Brooklyn, NY
NPI number
1508594474
Active
Practice location
3709 Flatlands Ave
Brooklyn, NY 11234-3507
Mailing address
6309 108th St Apt 3E
Forest Hills, NY 11375-1321
Other practice locations
- 6309 108th St Apt 3E, Forest Hills, NY 11375-1321 · (646) 301-7259
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 310828 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1508594474
Yadid Nisimov, NP's National Provider Identifier is 1508594474, issued on Aug 9, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Brooklyn, NY. The record was last updated on Feb 13, 2024.