Individual
MOKENZAH DHILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-6731
Mailing address
166 CLEARMEADOW DR, EAST MEADOW, NY 11554-1202
(917) 497-0939
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
917574
NY
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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