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Mariam Nik, PA-C

Dermatology in Plainview, NY. Individual provider (NPI-1).

NPI number1962047464
StatusActive
Last updated in NPPESNov 8, 2019

Details

NPI
1962047464
Entity type
Individual (NPI-1)
Name
Mariam Nik
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Nov 8, 2019
Last updated
Nov 8, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology207N00000XNYYes

Practice location

516 Old Country Rd
Plainview, NY 11803-4924

Phone 516-433-2424

Mailing address

516 Old Country Rd
Plainview, NY 11803-4924

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