Healthcare Provider Details

I. General information

NPI: 1942469614
Provider Name (Legal Business Name): RONICA MUKERJEE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2008
Last Update Date: 07/12/2025
Certification Date: 07/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2185 CLARENDON RD STE 100
BROOKLYN NY
11226-6110
US

IV. Provider business mailing address

991 BLAKE AVE
BROOKLYN NY
11208-3503
US

V. Phone/Fax

Practice location:
  • Phone: 646-785-7452
  • Fax: 718-523-5833
Mailing address:
  • Phone: 646-785-7452
  • Fax: 646-491-7441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number335526
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: