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Organization
MF FAMILY HEALTH NP PC
Active
Organization
MF FAMILY HEALTH NP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA FEST (OWNER)
(718) 285-4440
Entity
Organization
Contact information
Practice address
2076 HYLAN BLVD STE I, STATEN ISLAND, NY 10306-3427
(718) 979-4865
(718) 979-1842
Mailing address
2627 HYLAN BLVD # D2, STATEN ISLAND, NY 10306-4344
(718) 285-4440
(718) 285-4459
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F339405-1
STATE LICENSE
NY
Enumeration date
03/25/2020
Last updated
06/07/2022
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