IANINA SUPONITSKY

BROOKLYN, NY
NPI1124407465
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: NY  F307084-1)
Enumeration Date2015-05-19
Last Update Date2020-09-22
Business Address
IANINA SUPONITSKY AGNP
1773 E 12TH ST #4D
BROOKLYN, NY 11229-1051
Phone number: 347-713-3023
Mailing Address
IANINA SUPONITSKY AGNP
PO BOX 290421
BROOKLYN, NY 11229-0421
Phone number: 347-713-3023
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