Individual
MOHINUR FIRDAVSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
983 E 12TH ST BSMT, BROOKLYN, NY 11230-3667
(929) 699-2807
(917) 591-3013
Mailing address
2126 BENSON AVE APT 5A, BROOKLYN, NY 11214-5031
(347) 988-1145
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
029384
NY
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
10/13/2022
Last updated
05/06/2025
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