Igor Romanov Nurse Practitioner In Family Health PC
Nurse Practitioner in Brooklyn, NY. Organization (NPI-2).
NPI number1255700548
StatusActive
Last updated in NPPESDec 6, 2023
Details
- NPI
- 1255700548
- Entity type
- Organization (NPI-2)
- Legal business name
- Igor Romanov Nurse Practitioner In Family Health PC
- Organization subpart
- No
- Enumeration date
- Sep 17, 2015
- Certification date
- Dec 6, 2023
- Last updated
- Dec 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Practice location
380 Henry StBrooklyn, NY 11201-6048
Phone 718-855-6789
Mailing address
131 Hastings StBrooklyn, NY 11235-3017
Phone 347-733-6044
Authorized official
Igor Romanov
President
7188556789
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