Individual
MASHA MASLENNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
257 LAFAYETTE AVE STE 380, SUFFERN, NY 10901-4829
(845) 777-3569
(845) 533-7464
Mailing address
20 GRAND ST, FL 3, WARWICK, NY 10990-1035
(845) 777-3569
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
209019111
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
421474
NY
Other
Enumeration date
04/04/2019
Last updated
04/14/2023
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