EA NURSE PRACTITIONER IN ADULT HEALTH PC
NPI 1194314427
Nurse Practitioner - Adult Health in Lido Beach, NY

Q: What is Ea Nurse Practitioner In Adult Health PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since January 12, 2021

228 GREENWAY RD, LIDO BEACH, NY 11561(718) 288-6075 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ea Nurse Practitioner In Adult Health Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EA NURSE PRACTITIONER IN ADULT HEALTH PC (NPI 1194314427) is a healthcare organization registered as an adult health in Lido Beach, New York and active in the NPI registry since January 2021. The organization lists Olga Yushuvayeva, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194314427

Entity TypeOrganization

Primary Taxonomy363LA2200X

Legal Business NameEA NURSE PRACTITIONER IN ADULT HEALTH PC

Location Address228 GREENWAY RDLido Beach, NY 11561-4829

Mailing Address228 Greenway RdLido Beach, NY 11561-4829 · (718) 288-6075

Phone(718) 288-6075

Organization SubpartNo

Authorized OfficialOlga YushuvayevaCeo · (718) 288-6075

Enumeration DateJanuary 12, 2021

NPPES CertifiedJanuary 12, 2021

✔ NPI 1194314427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

228 GREENWAY RD, Lido Beach, NY 11561

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLGA YUSHUVAYEVA NP

Nurse Practitioner (Adult Health)

228 GREENWAY RD
LIDO BEACH, NY 11561

Nassau County (347) 333-8040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ea Nurse Practitioner In Adult Health PC's NPI number?

The NPI number for Ea Nurse Practitioner In Adult Health PC is 1194314427. It was assigned to this organization in the NPPES registry on January 12, 2021.

Where is Ea Nurse Practitioner In Adult Health PC located?

Ea Nurse Practitioner In Adult Health PC is located at 228 Greenway Rd, Lido Beach, NY 11561. The listed phone number is (718) 288-6075.

What is Ea Nurse Practitioner In Adult Health PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Ea Nurse Practitioner In Adult Health PC was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.