| Inessa Inoyatova, | |
|
6451 Central Ave, Glendale, NY 11385-6258 | |
| (718) 456-0960 | |
| Not Available |
| Full Name | Inessa Inoyatova |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 6451 Central Ave, Glendale, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649986068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 310496 (New York) | Primary |
| Entity Name | Prominis Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841323771 PECOS PAC ID: 9537124441 Enrollment ID: O20041119000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Inessa Inoyatova, 6309 Booth St, Rego Park, NY 11374-2029 Ph: (718) 902-9225 | Inessa Inoyatova, 6451 Central Ave, Glendale, NY 11385-6258 Ph: (718) 456-0960 |
Jorgena Mato, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7141 66th Pl, Glendale, NY 11385 Phone: 646-823-8144 | |
Mrs. Vanessa Eliezer George, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5611 Clover Pl, 3l, Glendale, NY 11385 Phone: 646-734-2661 | |
Tiana Dior Miller, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7309 Myrtle Ave, Glendale, NY 11385 Phone: 718-577-4747 | |
Dominique Eboniece Mclaughlin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6414 Myrtle Ave, Glendale, NY 11385 Phone: 718-805-0037 Fax: 866-221-0879 | |
Sally Tang, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7952 78th Ave, Glendale, NY 11385 Phone: 718-663-1321 | |
Mrs. Margarita Ukman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6829 Myrtle Ave, Glendale, NY 11385 Phone: 718-821-4424 Fax: 718-802-1113 | |
Francy Guerrier, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7309 Myrtle Ave, Glendale, NY 11385 Phone: 347-654-7851 |