PUI-CHING MAK NURSE PRACTITIONER IN GERONTOLOGY PLLC NPI 1407387251

NPI Information

NPI: 1407387251
Provider Name: PUI-CHING MAK, NURSE PRACTITIONER IN GERONTOLOGY, PLLC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
139 CENTRE ST STE 715A
NEW YORK, NY
ZIP 10013
Phone: (917) 930-5388
Get Directions

PUI-CHING MAK, NURSE PRACTITIONER IN GERONTOLOGY, PLLC is a gerontology nurse practitioner in New York, NY. PUI-CHING MAK, NURSE PRACTITIONER IN GERONTOLOGY, PLLC NPI is 1407387251. The provider is registered as an organization entity type.

The provider's business location address is:

139 CENTRE ST STE 715A
NEW YORK, NY
ZIP 10013-557
Phone: (917) 930-5388

The provider's authorized official is Pui-ching E Mak .
The authorized official title is Np and has the following contact phone number (917) 930-5388.

The enumeration date for this NPI number is 3/23/2017 and was last updated on 5/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	340472	NEW YORK	No
2	363L00000X	Nurse Practitioner		440039	NEW YORK	No
3	363LG0600X	Nurse Practitioner	Gerontology	340472	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03573420	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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