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Organization
MM NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Active
Organization
MM NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAKROUS M MASHREKY FNP (NURSE PRACTITIONER)
(347) 278-3824
Entity
Organization
Contact information
Practice address
7726 62ND ST, GLENDALE, NY 11385-6810
(347) 278-3824
Mailing address
7726 62ND ST, GLENDALE, NY 11385-6810
(347) 278-3824
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LC1500X
Community Health Nurse Practitioner
—
NULL
363LC1500X
Community Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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