Medije Mashkulli, D.O.
Pediatrics in Staten Island, NY. Individual provider (NPI-1).
NPI number1851746952
StatusActive
Last updated in NPPESApr 5, 2020
Details
- NPI
- 1851746952
- Entity type
- Individual (NPI-1)
- Name
- Medije Mashkulli
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 27, 2016
- Certification date
- Apr 5, 2020
- Last updated
- Apr 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 300289 | NY | Yes |
Practice location
475 Seaview AveStaten Island, NY 10305-3436
Phone 718-226-8855
Mailing address
475 Seaview AveStaten Island, NY 10305-3436
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