Diana Gavrilova, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

355072 Issued in NY

Practice address

7127 172ND St
Fresh Meadows, NY 11365-3341

Phone

(646) 765-2092

NPI assigned

Sep 20, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1952128035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7127 172ND ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653341",
            "telephone_number": "646-765-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7127 172ND ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653341",
            "telephone_number": "646-765-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVRILOVA",
        "first_name": "DIANA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garden Medical Consulting PLLC
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• Sherly Gaston-Leonard
• Elina Gavrielova, NP
• Zipora Gelernter, D.M.D.
• Rorri Geller-Mohamed, LCSW
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• Gemini Physical Therapy P C
• Genesis Pharmacy

• Family Nurse Practitioner in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.