Provider Demographics
NPI:1699963132
Name:KITIKOVA-ARSLANOV, LUIZA S (FNP)
Entity type:Individual
Prefix:
First Name:LUIZA
Middle Name:S
Last Name:KITIKOVA-ARSLANOV
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LUIZA
Other - Middle Name:S
Other - Last Name:KITIKOVA-ARSLANOV
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:19 VERMILYEA AVE
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-5412
Mailing Address - Country:US
Mailing Address - Phone:212-942-1573
Mailing Address - Fax:212-304-1048
Practice Address - Street 1:3015 RIVERDALE AVE
Practice Address - Street 2:APT. 6J
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-3608
Practice Address - Country:US
Practice Address - Phone:917-903-0257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-10
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF334851363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily