Individual provider · Type 1 NPI
Soloman Yagudayev, NP
Adult Health Nurse Practitioner · Rockville Centre, NY
NPI number
1578086211
Active
Practice location
77 N Centre Ave Ste 208
Rockville Centre, NY 11570-3923
Mailing address
13526 78th Ave Apt F
Flushing, NY 11367-3276
Other practice locations
- 13526 78th Ave, Apt F, Flushing, NY 11367 · (718) 451-6634
- 7224 Kissena Blvd # 1, Flushing, NY 11367-2729 · (718) 576-4652
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F308097 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1578086211
Soloman Yagudayev, NP's National Provider Identifier is 1578086211, issued on Jul 25, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Rockville Centre, NY. The record was last updated on Jul 14, 2020.