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Organization

MISHKINA TERRANE NP IN ADULT HEALTH P.C

Active
Other names
MK Medical P.C, Mishkina Terrane NP
Organization subpart
No

Provider details

NPI number
Authorized official
MISHKINA TERRANE NP (CEO)
(646) 912-1353
Entity
Organization

Contact information

Practice address
6241 WOODHAVEN BLVD # 2, REGO PARK, NY 11374-3731
(929) 607-3271
Mailing address
6241 WOODHAVEN BLVD # 2, REGO PARK, NY 11374-3731
(646) 912-1353

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
09/27/2023
Last updated
09/27/2023
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