Individual provider · Type 1 NPI
Maksim Repka, NP
Family Nurse Practitioner · Staten Island, NY
NPI number
1417350604
Active
Practice location
475 Seaview Ave, Diagnostic Cardiology
Staten Island, NY 10305-3436
Fax (718) 226-1946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 338650 (NY) |
Family Nurse Practitioner: Definition to come...
1,214 other providers at this address
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About NPI 1417350604
Maksim Repka, NP's National Provider Identifier is 1417350604, issued on Oct 1, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Dec 13, 2017.