Individual
MARK SHKLOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1669 BEDFORD AVE FL 2, BROOKLYN, NY 11225-2009
(718) 439-8972
(646) 829-1448
Mailing address
1669 BEDFORD AVE, BROOKLYN, NY 11225-2009
(718) 439-8972
(646) 829-1448
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
746484
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404829
NY
Other
Enumeration date
01/14/2022
Last updated
05/23/2025
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