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1174136121
ANATOLIY MIRKIN
MINEOLA, NY
NPI
1174136121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 346391)
Enumeration Date
2020-08-28
Last Update Date
2020-08-28
Business Address
Mr. ANATOLIY MIRKIN FNP-C
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-0333
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Mailing Address
Mr. ANATOLIY MIRKIN FNP-C
7925 150TH ST APT D17
FLUSHING, NY 11367-3810
Phone number: 646-932-6163
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