Individual
MISHKINA TERRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(646) 912-1353
Mailing address
777 JEFFERSON AVE APT 2, RAHWAY, NJ 07065-2600
(646) 912-1353
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310024
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310024
—
NY
Enumeration date
10/21/2020
Last updated
10/21/2020
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