| NPI | 1679465025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKROUS M MASHREKY Nurse Practitioner 347-278-3824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-07-18 |