Individual provider · Type 1 NPI

Paoulina Stanislavova Ivanova, MD

Student in an Organized Health Care Education/Training Program · Flushing, NY

NPI number 1659952828 Active

Practice location

5645 Main St
Flushing, NY 11355-5045

Call (718) 661-8950 Map

Mailing address

311 E Mandalay Dr
San Antonio, TX 78212-1743

Other practice locations

  • 355 Bard Ave, Staten Island, NY 10310-1699 · (718) 818-2768

Specialties and licenses

TaxonomyCodeLicense
Radiology Clinic/Center 261QR0200XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1659952828

Paoulina Stanislavova Ivanova, MD's National Provider Identifier is 1659952828, issued on Apr 19, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Flushing, NY. The record was last updated on Jun 4, 2026.