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1437891199
DIANA PUKHOVICH
BROOKLYN, NY
NPI
1437891199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 349331)
Enumeration Date
2022-04-12
Last Update Date
2022-04-12
Business Address
DIANA PUKHOVICH FNP
2279 CONEY ISLAND AVE
BROOKLYN, NY 11223-3337
Phone number: 212-612-2222
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Mailing Address
DIANA PUKHOVICH FNP
65 STONEGATE DR
STATEN ISLAND, NY 10304-4454
Phone number: 917-613-3172
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