Provider Demographics
NPI:1841151347
Name:NISIMOVA QUALITY FAMILY CARE
Entity type:Organization
Organization Name:NISIMOVA QUALITY FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:BELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:NISIMOVA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:347-425-2068
Mailing Address - Street 1:2008 E 68TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6010
Mailing Address - Country:US
Mailing Address - Phone:347-425-2068
Mailing Address - Fax:929-392-1220
Practice Address - Street 1:2008 E 68TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-6010
Practice Address - Country:US
Practice Address - Phone:347-425-2068
Practice Address - Fax:929-392-1220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty