DIANA GAVRILOVA

FRESH MEADOWS, NY
NPI1952128035
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  355072)
Enumeration Date2024-09-20
Last Update Date2024-09-20
Business Address
DIANA GAVRILOVA FNP
7127 172ND ST
FRESH MEADOWS, NY 11365-3341
Phone number: 646-765-2092
Mailing Address
DIANA GAVRILOVA FNP
7127 172ND ST
FRESH MEADOWS, NY 11365-3341
Phone number: 646-765-2092