Individual
MIRIAM MAHFOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
525 E 68TH ST # F-741, NEW YORK, NY 10065-4870
(646) 962-8422
Mailing address
367 W 48TH ST APT PH, NEW YORK, NY 10036-1337
(559) 393-9084
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311032
NY
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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