Individual
OLGA MAKUSHKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5060
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5060
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306682
NY
Other
Enumeration date
06/01/2015
Last updated
07/18/2015
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