Individual
MIRIAM PAVLOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, AGPCNP
Contact information
Practice address
1001 MITCHEL FIELD WAY, GARDEN CITY, NY 11530-5061
(347) 204-5288
Mailing address
1001 MITCHEL FIELD WAY, GARDEN CITY, NY 11530-5061
(347) 204-5288
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
524614
NY
163WA2000X
Administrator Registered Nurse
524614
NY
363LA2200X
Adult Health Nurse Practitioner
26NR17321500
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
308475
NY
363LG0600X
Gerontology Nurse Practitioner
308475
NY
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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