Organization · Type 2 NPI

Pui-Ching Mak, Nurse Practitioner In Gerontology, PLLC

Gerontology Nurse Practitioner · New York, NY

NPI number 1407387251 Active

Practice location

139 Centre St Ste 715A
New York, NY 10013-4557

Other practice locations

  • 1626 Hendrickson St, Brooklyn, NY 11234-4316 · (917) 930-5388

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center 261QH0100X340472 (NY)
Nurse Practitioner 363L00000X440039 (NY)
Gerontology Nurse Practitioner Primary 363LG0600X340472 (NY)

Gerontology Nurse Practitioner: Definition to come...

2 other providers at this address

About NPI 1407387251

Pui-Ching Mak, Nurse Practitioner In Gerontology, PLLC's National Provider Identifier is 1407387251, issued on Mar 23, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in New York, NY. The record was last updated on May 9, 2018.