Individual provider · Type 1 NPI

Myriam C. Mentor, NP

Family Nurse Practitioner · New York, NY

NPI number 1407501125 Active

Practice location

130 E 77th St
New York, NY 10075-1851

Mailing address

9405 Farragut Rd
Brooklyn, NY 11236-2027

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X348611 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1407501125

Myriam C. Mentor, NP's National Provider Identifier is 1407501125, issued on Feb 22, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Feb 22, 2022.