Individual
REGINA SHANA KACHKOFF-ENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-0114
Mailing address
3959 BROADWAY FL 11, NEW YORK, NY 10032-1559
(212) 305-9918
(212) 342-1065
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383268
NY
Other
Enumeration date
11/21/2022
Last updated
11/28/2022
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