Individual provider · Type 1 NPI

Yakov Nisimov, NP

Family Nurse Practitioner · Rego Park, NY

NPI number 1952183980 Active

Practice location

6333 98th Pl Apt 3C
Rego Park, NY 11374-2317

Call (718) 415-5494 Map

Mailing address

7925 150th St Apt A20
Flushing, NY 11367-3803

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X352558 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1952183980

Yakov Nisimov, NP's National Provider Identifier is 1952183980, issued on Oct 16, 2023. 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 2, 2026.