Princess Mingle, NP
Family Medicine in Kew Gardens, NY. Individual provider (NPI-1).
NPI number1407581317
StatusActive
Last updated in NPPESJul 24, 2022
Details
- NPI
- 1407581317
- Entity type
- Individual (NPI-1)
- Name
- Princess Mingle
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2022
- Certification date
- Jul 24, 2022
- Last updated
- Jul 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 349425 | NY | Yes |
Practice location
8002 Kew Gardens RdKew Gardens, NY 11415-3600
Phone 888-321-3627
Mailing address
25755 148th DrRosedale, NY 11422-3018
Phone 646-236-0051
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