Individual
DIANA PUKHOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2279 CONEY ISLAND AVE, BROOKLYN, NY 11223-3337
(212) 612-2222
Mailing address
65 STONEGATE DR, STATEN ISLAND, NY 10304-4454
(917) 613-3172
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
349331
NY
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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