Organization
DR MEDNIK MEDICAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARINE MEDNIK I M.D. (MD)
(718) 907-0195
Entity
Organization
Contact information
Practice address
8710 37TH AVE, JACKSON HEIGHTS, NY 11372-7704
(347) 254-8755
Mailing address
8710 37TH AVE, JACKSON HEIGHTS, NY 11372-7704
(347) 254-8755
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
225521
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02300392
—
NY
Enumeration date
02/11/2015
Last updated
02/11/2015
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