Individual
MARIA KLIMENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1044 5TH AVE, NEW YORK, NY 10028-0108
(212) 249-9440
Mailing address
1044 5TH AVE, NEW YORK, NY 10028-0108
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310155-01
NY
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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