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NPI Code Detail

MEDICARE: MRS. MARGARITA UKMAN NP

MEDICARE: MRS. MARGARITA UKMAN NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner30305581NY
2363LA2200XAdult Health Nurse PractitionerF305581NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2A400223557OTHERNYMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11356685473OTHERNYNPI
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356685473
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARGARITA UKMAN NP
Provider Business Mailing Address
First Line : 344 3RD AVE
Second Line : APT 7A
City : NEW YORK
State : NY
Zip : 10010-2397
Country : US
Telephone Number : 314-724-5961
Fax Number : 646-895-9500
Provider Business Practice Location Address
First Line : 6829 MYRTLE AVE
Second Line :
City : GLENDALE
State : NY
Zip : 11385-7234
Country : US
Telephone Number : 718-821-4424
Fax Number : 718-802-1113
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2012
Last Update Date : 07/28/2020

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