Individual
MARGARITA SURIKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1905 E 17TH ST, BROOKLYN, NY 11229-3407
(347) 443-7523
Mailing address
1905 E 17TH ST, BROOKLYN, NY 11229-3407
(347) 443-7523
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310347
NY
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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