Individual
MRS. MUKTA MUKTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
263 7TH AVE STE 4H, BROOKLYN, NY 11215-7247
(718) 780-7700
Mailing address
263 7TH AVE STE 4H, BROOKLYN, NY 11215-7247
(718) 780-7700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
673031
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F310612
NY
Other
Enumeration date
09/27/2013
Last updated
07/12/2023
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