Individual provider · Type 1 NPI

Elina Gavrielova, NP

Pediatric Nurse Practitioner · Fresh Meadows, NY

NPI number 1639617384 Active

Practice location

7531 190th Street
Fresh Meadows, NY 11366

Mailing address

210 174th St Apt 608
Sunny Isles Beach, FL 33160-3337

Specialties and licenses

TaxonomyCodeLicense
Emergency Clinical Nurse Specialist 364SE0003XF382586-1 (NY)
Pediatric Nurse Practitioner Primary 363LP0200XAPRN11017115 (FL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1639617384

Elina Gavrielova, NP's National Provider Identifier is 1639617384, issued on Feb 2, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fresh Meadows, NY. The record was last updated on Nov 15, 2023.