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NPI Code Detail

MEDICARE: MP FAMILY HEALTH NP PLLC

MEDICARE: MP FAMILY HEALTH NP PLLC
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
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1487517728
Entity Type Code : Organization
Provider Name (Legal Business Name) : MP FAMILY HEALTH NP PLLC
Provider Business Mailing Address
First Line : 621 N TERRACE AVE APT 3B
Second Line :
City : MOUNT VERNON
State : NY
Zip : 10552-2732
Country : US
Telephone Number : 914-562-1190
Fax Number :
Provider Business Practice Location Address
First Line : 621 N TERRACE AVE APT 3B
Second Line :
City : MOUNT VERNON
State : NY
Zip : 10552-2732
Country : US
Telephone Number : 914-562-1190
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. MIGUEL ANGEL PINA JR.
Credential : NP
Telephone Number : 914-562-1190
Provider Enumeration Date : 12/04/2025
Last Update Date : 12/04/2025

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