Kamynina, Yeseniya

Kamynina, Yeseniya is an individual health care provider with primary practice located at 12046 Queens Blvd , Kew Gardens NY 11415-1204. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Kamynina, Yeseniya can be contacted via phone (718) 793-3341.

Contact Information

Primary practice address
12046 Queens Blvd Kew Gardens NY 11415-1204
Phone: (718) 793-3341
Fax: (718) 268-1666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F308549 New York

Profile Details

NPI number 1740789718
LBN Legal business name Kamynina, Yeseniya
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2018
Last updated Sep 9th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740789718 NPPES
New York MEDICAID 05418997

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