Individual
MEDIJE MASHKULLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-8855
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
300289
NY
Other
Enumeration date
04/27/2016
Last updated
04/05/2020
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