| Doctor Name: | BURKHO BELLA SHIMUNOVA |
| NPI Number: | 1063837920 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | REGISTERED NURSE |
| License Number: | 520330-1 |
| Business Practice Address: | 3129 60th St Woodside, NY - 113771220 |
| Business Phone Number: | 7184879857 |
| Business Fax Number: | |
| Mailing Address: | 3129 60th St, WOODSIDE |
| State: | NY |
| Postal Code: | 113771220 |
| Phone Number: | 7184879857 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2014 |
| NPI Last Update Date: | 03/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 520330-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |