Individual provider · Type 1 NPI

Diana Gavrilova, FNP

Family Nurse Practitioner · Rego Park, NY

NPI number 1952128035 Active

Practice location

9618 63rd Dr # 202
Rego Park, NY 11374-2297

Call (646) 765-2092 Map

Mailing address

7127 172nd St
Fresh Meadows, NY 11365-3341

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X355072 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1952128035

Diana Gavrilova, FNP's National Provider Identifier is 1952128035, issued on Sep 20, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rego Park, NY. The record was last updated on Oct 28, 2026.