Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Family Health Nurse Practitioner Home Visits PC

Organization Family Nurse Practitioner · NPI 1083942544

Family Health Nurse Practitioner Home Visits PC is a Family Nurse Practitioner in Queens Village, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9605 220th St
Queens Village, NY 11429-1347
Phone: (646) 201-8985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F333427-1 (NY)

Record details

NPI number1083942544
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexander Kotov — Medical Director · (646) 201-8985
NPI enumeratedNovember 21, 2009
Last updated in NPPESJanuary 12, 2016
Mailing address9605 220th St, Queens Village, NY 11429-1347

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