Individual
MRS. LIANNA MASHKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-3000
Mailing address
129 CATHERINE AVE, FRANKLIN SQUARE, NY 11010-1513
(917) 322-9092
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383167
NY
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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