Provider Demographics
NPI:1578059051
Name:SLIVKINA, FAINA (NP)
Entity Type:Individual
Prefix:
First Name:FAINA
Middle Name:
Last Name:SLIVKINA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:735 AVENUE W APT 5N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-5555
Mailing Address - Country:US
Mailing Address - Phone:347-401-2003
Mailing Address - Fax:718-285-9108
Practice Address - Street 1:2797 OCEAN PKWY STE 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7868
Practice Address - Country:US
Practice Address - Phone:718-576-1212
Practice Address - Fax:718-285-9108
Is Sole Proprietor?:No
Enumeration Date:2018-07-08
Last Update Date:2018-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF308148363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health