Provider Demographics
NPI:1700266244
Name:ASAPNURSE RN PC
Entity type:Organization
Organization Name:ASAPNURSE RN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE, RN
Authorized Official - Prefix:
Authorized Official - First Name:YULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUZNETSOVA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-578-8103
Mailing Address - Street 1:8828 75TH AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-7926
Mailing Address - Country:US
Mailing Address - Phone:718-578-8103
Mailing Address - Fax:
Practice Address - Street 1:8828 75TH AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385-7926
Practice Address - Country:US
Practice Address - Phone:718-578-8103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-30
Last Update Date:2015-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY555778282N00000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No282N00000XHospitalsGeneral Acute Care HospitalGroup - Single Specialty