Individual
MR. ANATOLIY MIRKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-0333
Mailing address
7925 150TH ST APT D17, FLUSHING, NY 11367-3810
(646) 932-6163
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
346391
NY
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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