Organization
PUI-CHING MAK, NURSE PRACTITIONER IN GERONTOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PUI-CHING E MAK NP (NP)
(917) 930-5388
Entity
Organization
Contact information
Practice address
139 CENTRE ST STE 715A, NEW YORK, NY 10013-4557
(917) 930-5388
Mailing address
139 CENTRE ST STE 715A, NEW YORK, NY 10013-4557
(917) 930-5388
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
340472
NY
363L00000X
Nurse Practitioner
440039
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
340472
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03573420
—
NY
Enumeration date
03/23/2017
Last updated
05/09/2018
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